Keddis, Robert N
Keddis, Robert N is an individual health care provider with primary practice located at 200 Trenton Raod Floor 1, Browns Mills NJ 08015. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Keddis, Robert N can be contacted via phone (609) 893-6611.Contact Information
Primary practice address
200 Trenton Raod Floor 1
Browns Mills NJ 08015
Phone: (609) 893-6611
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | ||
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 25MA09248300 | New Jersey |
Profile Details
NPI number | 1932333648 |
---|---|
LBN Legal business name | Keddis, Robert N |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 8th, 2009 |
Last updated | Jan 7th, 2019 - about 5 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 | 1932333648 | NPPES |
New Jersey | Other | 305140 | MEDICARE |
New Jersey | MEDICAID | 0359378 | MEDICARE |
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