Keppich, Todd Michael

Keppich, Todd Michael is an individual health care provider with primary practice located at 2121 Shelly Dr , Indiana PA 15701-2395. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Keppich, Todd Michael can be contacted via phone (724) 349-1237.

Contact Information

Primary practice address
2121 Shelly Dr Indiana PA 15701-2395
Phone: (724) 349-1237
Fax: (724) 465-0127
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 0601800384 Virginia
Eye and Vision Services Providers / Optometrist 152W00000X OEG002045 Pennsylvania

Profile Details

NPI number 1922089101
LBN Legal business name Keppich, Todd Michael
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Aug 8th, 2011 - about 15 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 1922089101 NPPES
Virginia Other 0601800384 STATE LICENSE NUMBER
Virginia Other OEG002045 STATE LICENSE NUMBER

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