Keller, David Jay

Keller, David Jay is an individual health care provider with primary practice located at 44 Birch St Suite 200, Derry NH 03038-2752. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is his primary health care specialty. Keller, David Jay can be contacted via phone (603) 421-9130.

Contact Information

Primary practice address
44 Birch St Suite 200 Derry NH 03038-2752
Phone: (603) 421-9130
Fax: (603) 421-2451
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 0420005877 Vermont
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X LT-2804 New Hampshire

Profile Details

NPI number 1316933914
LBN Legal business name Keller, David Jay
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Jun 19th, 2009 - about 17 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 1316933914 NPPES
Vermont Other 329603 CIGNA
Vermont MEDICAID 0004705 CIGNA
Vermont Other 00004705 CIGNA
Vermont MEDICAID 30208575 CIGNA
Vermont Other 4971 CIGNA
Vermont Other 18145 CIGNA

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