Boell, Keith A.
Boell, Keith A. is an individual health care provider with primary practice located at 100 N Academy Ave , Danville PA 17822-1401. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Boell, Keith A. can be contacted via phone (570) 271-6164.Contact Information
Primary practice address
100 N Academy Ave
Danville PA 17822-1401
Phone: (570) 271-6164
Fax: (570) 271-6141
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | OS011832 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | OS011832 | Pennsylvania |
Profile Details
| NPI number | 1205801503 |
|---|---|
| LBN Legal business name | Boell, Keith A. |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 21st, 2006 |
| Last updated | Feb 11th, 2021 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1205801503 | NPPES |
| Pennsylvania | MEDICAID | 101020229 |
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