Johnson, Keegan
Johnson, Keegan is an individual health care provider with primary practice located at 1565 N Main St Ste 406, Fall River MA 02720-2972. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Ophthalmology. Allopathic & Osteopathic Physicians / Ophthalmology is her primary health care specialty. Johnson, Keegan can be contacted via phone (508) 730-2020.Contact Information
Primary practice address
1565 N Main St Ste 406
Fall River MA 02720-2972
Phone: (508) 730-2020
Fax: (508) 677-0975
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MT188093 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | D70263 | Maryland |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MD13803 | Rhode Island |
Profile Details
| NPI number | 1861542532 |
|---|---|
| LBN Legal business name | Johnson, Keegan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Jan 27th, 2012 - about 13 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 | 1861542532 | NPPES |
| Maryland | MEDICAID | 036679000 |
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