Keller, Michael Ryan
Keller, Michael Ryan is an individual health care provider with primary practice located at 540 Hospital Dr , Winamac IN 46996-1173. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Keller, Michael Ryan can be contacted via phone (574) 946-2194.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01086055A | Indiana |
Profile Details
| NPI number | 1407419914 |
|---|---|
| LBN Legal business name | Keller, Michael Ryan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2019 |
| Last updated | Jun 26th, 2024 - about last year |
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 | 1407419914 | NPPES |
| Indiana | MEDICAID | 261970169 |
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