Keohane, Thomas

Keohane, Thomas is an individual health care provider with primary practice located at 487 Niagara St , Buffalo NY 14201-1740. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Keohane, Thomas can be contacted via phone (716) 853-6601.

Contact Information

Primary practice address
487 Niagara St Buffalo NY 14201-1740
Phone: (716) 853-6601
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 42961-1 New York

Profile Details

NPI number 1134394422
LBN Legal business name Keohane, Thomas
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2008
Last updated Apr 28th, 2008 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1134394422 NPPES
New York MEDICAID 02802064

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