Keller, Dianne
Keller, Dianne is an individual health care provider with primary practice located at 2502 N Dodge Blvd Suite 190, Tucson AZ 85716-2671. She recently has only one registered license in Allopathic & Osteopathic Physicians / Addiction Psychiatry, which is considered as her primary health care specialty. Keller, Dianne can be contacted via phone (520) 490-4266.Contact Information
Primary practice address
2502 N Dodge Blvd Suite 190
Tucson AZ 85716-2671
Phone: (520) 490-4266
Fax: (520) 617-1608
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Addiction Psychiatry | 2084P0802X | 20611 | Arizona |
Profile Details
| NPI number | 1902996150 |
|---|---|
| LBN Legal business name | Keller, Dianne |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 16th, 2006 |
| Last updated | Feb 18th, 2011 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1902996150 | NPPES |
| Arizona | MEDICAID | 113324 |
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