I. Basil Keller,M.D. Neurological Surgeon, Clinical Neuroscience
LBN: I. Basil Keller, M.D.
I. Basil Keller,M.D. Neurological Surgeon, Clinical Neuroscience is an health care organization with primary practice located at 1850 37Th St Suite C, Vero Beach FL 32960-4856. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Neurological Surgery, Allopathic & Osteopathic Physicians / Neurology. Allopathic & Osteopathic Physicians / Neurological Surgery is the primary health care specialty.
I. Basil Keller, M.D. can be contacted via phone (772) 569-9611, or through Keller, Irvin Basil via phone (772) 569-9611.
Contact Information
Primary practice address
1850 37Th St Suite C
Vero Beach FL 32960-4856
Phone: (772) 569-9611
Fax: (772) 569-9615
Website:
Authorized official contact:
Name: Keller, Irvin Basil Doctor of Medicine (MD)
Phone: (772) 569-9611
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurological Surgery | 207T00000X | ME19360 | Florida |
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | ME19360 | Florida |
Profile Details
| NPI number | 1821481912 |
|---|---|
| LBN Legal business name | I. Basil Keller, M.D. |
| DBA Doing business as | I. Basil Keller,M.D. Neurological Surgeon, Clinical Neuroscience |
| Authorized official | Keller, Irvin Basil Doctor of Medicine (MD) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Mar 12th, 2015 |
| Last updated | Mar 7th, 2023 - about 2 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1821481912 | NPPES |
| Florida | MEDICAID | 051314800 | |
| Florida | Other | 1821036492 |
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