Keenan, Thomas J.

Keenan, Thomas J. is an individual health care provider with primary practice located at 946 Tuckertown Rd # F , Wakefield RI 02879-2732. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Keenan, Thomas J. can be contacted via phone (401) 783-0874.

Contact Information

Primary practice address
946 Tuckertown Rd # F Wakefield RI 02879-2732
Phone: (401) 783-0874
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 33817 Massachusetts

Profile Details

NPI number 1700809316
LBN Legal business name Keenan, Thomas J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Feb 24th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1700809316 NPPES
Massachusetts MEDICAID 2018853

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