Keller, Wade Robert

Keller, Wade Robert is an individual health care provider with primary practice located at 1605 E Riverside Dr , Eagle ID 83616-6237. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Procedural Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Keller, Wade Robert can be contacted via phone (208) 939-6227.

Contact Information

Primary practice address
1605 E Riverside Dr Eagle ID 83616-6237
Phone: (208) 939-6227
Fax: (208) 939-6442
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 4692 Arizona
Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery 207ND0101X O-0559 Idaho
Allopathic & Osteopathic Physicians / Procedural Dermatology 207NS0135X O-0559 Idaho
Allopathic & Osteopathic Physicians / Dermatology 207N00000X O-0559 Idaho

Profile Details

NPI number 1942402169
LBN Legal business name Keller, Wade Robert
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2007
Last updated Nov 3rd, 2022 - 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.

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