Keller, Bowen Eliot

Keller, Bowen Eliot is an individual health care provider with primary practice located at 550 Osborne Rd Ne , Fridley MN 55432-2718. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Keller, Bowen Eliot can be contacted via phone (763) 236-5000.

Contact Information

Primary practice address
550 Osborne Rd Ne Fridley MN 55432-2718
Phone: (763) 236-5000
Fax: (763) 236-3524
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 40560 Minnesota

Profile Details

NPI number 1538124888
LBN Legal business name Keller, Bowen Eliot
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 19th, 2006
Last updated Mar 11th, 2021 - about 5 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 1538124888 NPPES
Minnesota Other 55Q07KE BCBS OF MN
Minnesota Other 5366669 BCBS OF MN
Minnesota Other 779466 BCBS OF MN
Minnesota Other 124494 BCBS OF MN
Minnesota Other 0413830 BCBS OF MN
Minnesota Other 1017337 BCBS OF MN
Minnesota Other HP26738 BCBS OF MN
Minnesota MEDICAID 476817500 BCBS OF MN

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