Keller, Stephen
Keller, Stephen is an sole proprietor health care provider with primary practice located at 1130 N Baldwin Ave , Marion IN 46952-2536. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Keller, Stephen can be contacted via phone (765) 660-7480.Contact Information
Primary practice address
1130 N Baldwin Ave
Marion IN 46952-2536
Phone: (765) 660-7480
Fax: (765) 382-4495
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 173346 | North Carolina |
Profile Details
| NPI number | 1679864599 |
|---|---|
| LBN Legal business name | Keller, Stephen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 26th, 2011 |
| Last updated | Sep 27th, 2018 - about 8 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 | 1679864599 | NPPES |
| Indiana | MEDICAID | 201290930 |
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