Keating, Michael Kevin

Keating, Michael Kevin is an individual health care provider with primary practice located at 37 W Garden St Ste 205 , Auburn NY 13021. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Keating, Michael Kevin can be contacted via phone (315) 282-0063.

Contact Information

Primary practice address
37 W Garden St Ste 205 Auburn NY 13021
Phone: (315) 282-0063
Fax: (315) 282-0124
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 043531 New York

Profile Details

NPI number 1568528289
LBN Legal business name Keating, Michael Kevin
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2006
Last updated May 28th, 2018 - about 6 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 1568528289 NPPES
New York MEDICAID 02338732

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