Keenholtz, Steven Laurence

Keenholtz, Steven Laurence is an individual health care provider with primary practice located at 140 Commonwealth Ave Ste 104, Danvers MA 01923-3629. He recently has only one registered license in Allopathic & Osteopathic Physicians / Infectious Disease, which is considered as his primary health care specialty. Keenholtz, Steven Laurence can be contacted via phone (978) 777-6544.

Contact Information

Primary practice address
140 Commonwealth Ave Ste 104 Danvers MA 01923-3629
Phone: (978) 777-6544
Fax: (978) 774-2091
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Infectious Disease 207RI0200X 45872 Massachusetts

Profile Details

NPI number 1841219599
LBN Legal business name Keenholtz, Steven Laurence
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated Nov 14th, 2014 - about 12 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 1841219599 NPPES
Massachusetts MEDICAID 0122866

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