Keller, Philip E
Keller, Philip E is an individual health care provider with primary practice located at 1 Walter Scholer Dr , Lafayette IN 47909-6303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Keller, Philip E can be contacted via phone (765) 448-8000.Contact Information
Primary practice address
1 Walter Scholer Dr
Lafayette IN 47909-6303
Phone: (765) 448-8000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 23984 | Wisconsin |
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 01066617A | Indiana |
Profile Details
| NPI number | 1972585131 |
|---|---|
| LBN Legal business name | Keller, Philip E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 15th, 2005 |
| Last updated | Aug 13th, 2012 - about 14 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 | 1972585131 | NPPES |
| Wisconsin | Other | 080076573 | RAILROAD MEDICARE |
| Wisconsin | Other | 12550 | RAILROAD MEDICARE |
| Wisconsin | Other | 23984 | RAILROAD MEDICARE |
| Wisconsin | MEDICAID | 200960920 | RAILROAD MEDICARE |
| Wisconsin | Other | 39080723640 | RAILROAD MEDICARE |
| Wisconsin | Other | 000000631756 | RAILROAD MEDICARE |
| Wisconsin | MEDICAID | 30500300 | RAILROAD MEDICARE |
| Wisconsin | Other | WI0140 | RAILROAD MEDICARE |
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