Keim, Jeffrey R

Keim, Jeffrey R is an sole proprietor health care provider with primary practice located at 2801 University Dr S , Fargo ND 58103-6029. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery, which is considered as his primary health care specialty. Keim, Jeffrey R can be contacted via phone (701) 234-8900.

Contact Information

Primary practice address
2801 University Dr S Fargo ND 58103-6029
Phone: (701) 234-8900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic and Reconstructive Surgery 2086S0122X 8461 North Dakota

Profile Details

NPI number 1639259310
LBN Legal business name Keim, Jeffrey R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 16th, 2006
Last updated Jul 17th, 2019 - about 7 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 1639259310 NPPES
North Dakota MEDICAID 11231

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