Keefe, Brian M
Keefe, Brian M is an individual health care provider with primary practice located at 25 Stanford St Plaza Level Erich Lindemann Mental Health Center, Boston MA 02114-2696. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Forensic Psychiatry, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Keefe, Brian M can be contacted via phone (617) 724-6004.Contact Information
Primary practice address
25 Stanford St Plaza Level Erich Lindemann Mental Health Center
Boston MA 02114-2696
Phone: (617) 724-6004
Fax: (617) 626-8669
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Forensic Psychiatry | 2084F0202X | 208702 | Massachusetts |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 208702 | Massachusetts |
Profile Details
NPI number | 1154397289 |
---|---|
LBN Legal business name | Keefe, Brian M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 28th, 2006 |
Last updated | Feb 14th, 2011 - about 14 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 | 1154397289 | NPPES |
Massachusetts | MEDICAID | 0183440 | |
Massachusetts | Other | 453167 | |
Massachusetts | Other | J25501 |
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