Eilerman, Keith Alan

Eilerman, Keith Alan is an individual health care provider with primary practice located at 64 East Daily Drive , Camarillo CA 93010. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Eilerman, Keith Alan can be contacted via phone (805) 384-8071.

Contact Information

Primary practice address
64 East Daily Drive Camarillo CA 93010
Fax: (805) 437-8717
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X G43738 California

Profile Details

NPI number 1316004559
LBN Legal business name Eilerman, Keith Alan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 3rd, 2007
Last updated Apr 13th, 2016 - about 9 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 1316004559 NPPES
California Other ZZZ16399Z BLUE SHIELD

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