Keller, Michael Joseph

Keller, Michael Joseph is an sole proprietor health care provider with primary practice located at 2301 Industrial Rd Ste 2020, Emporia KS 66801-6656. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Keller, Michael Joseph can be contacted via phone (620) 343-8876.

Contact Information

Primary practice address
2301 Industrial Rd Ste 2020 Emporia KS 66801-6656
Phone: (620) 343-8876
Fax: (620) 343-8119
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X KS-1553 Kansas

Profile Details

NPI number 1982685699
LBN Legal business name Keller, Michael Joseph
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 9th, 2005
Last updated Apr 2nd, 2020 - about 6 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 1982685699 NPPES
Other 650845 BCBS
MEDICAID 100348250G BCBS
Other 410047515 BCBS

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