Heller, Keith Robert

Heller, Keith Robert is an individual health care provider with primary practice located at 307 Boatner Rd , Eglin Afb FL 32542-1302. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Heller, Keith Robert can be contacted via phone (850) 883-9885.

Contact Information

Primary practice address
307 Boatner Rd Eglin Afb FL 32542-1302
Phone: (850) 883-9885
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X

Profile Details

NPI number 1932783834
LBN Legal business name Heller, Keith Robert
Credentials PA-S
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2021
Last updated Sep 20th, 2023 - about 2 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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