Keller, Michael Peter
Keller, Michael Peter is an sole proprietor health care provider with primary practice located at 701 Dellwood St S , Cambridge MN 55008-1920. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Keller, Michael Peter can be contacted via phone (763) 689-8700.Contact Information
Primary practice address
701 Dellwood St S
Cambridge MN 55008-1920
Phone: (763) 689-8700
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | LP4821 | Minnesota |
Profile Details
| NPI number | 1093855488 |
|---|---|
| LBN Legal business name | Keller, Michael Peter |
| Credentials | LP |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Sep 21st, 2023 - about 3 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 | 1093855488 | NPPES |
| Minnesota | MEDICAID | 298039800 |
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