Keller, Michael Aaron
Keller, Michael Aaron is an sole proprietor health care provider with primary practice located at 2045 Brookwood Medical Ctr Dr Suite 5-7, Birmingham AL 35209-6874. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Keller, Michael Aaron can be contacted via phone (205) 870-7110.Contact Information
Primary practice address
2045 Brookwood Medical Ctr Dr Suite 5-7
Birmingham AL 35209-6874
Phone: (205) 870-7110
Fax: (205) 871-3339
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 4936 | Alabama |
Profile Details
| NPI number | 1477572741 |
|---|---|
| LBN Legal business name | Keller, Michael Aaron |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1477572741 | NPPES |
| Alabama | MEDICAID | 44892 |
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