Keane, William R
Keane, William R is an individual health care provider with primary practice located at 14 Richland Medical Park 310, Columbia SC 29203-6877. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Keane, William R can be contacted via phone (803) 252-9907.Contact Information
Primary practice address
14 Richland Medical Park 310
Columbia SC 29203-6877
Phone: (803) 252-9907
Fax: (803) 252-9906
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | 9543 | South Carolina |
Profile Details
| NPI number | 1811961634 |
|---|---|
| LBN Legal business name | Keane, William R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 16th, 2006 |
| Last updated | Nov 6th, 2007 - about 19 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 | 1811961634 | NPPES |
| South Carolina | MEDICAID | 95435 |
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