Keegan, John A

Keegan, John A is an individual health care provider with primary practice located at 14101 Fairview Dr , Burnsville MN 55337-4590. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Keegan, John A can be contacted via phone (952) 993-3282.

Contact Information

Primary practice address
14101 Fairview Dr Burnsville MN 55337-4590
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 40890 Wisconsin
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 60476 Minnesota

Profile Details

NPI number 1932281763
LBN Legal business name Keegan, John A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2006
Last updated Mar 17th, 2018 - about 7 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 1932281763 NPPES
Other 2024 INTERNAL ID-MOTOR VEHICLE ID
MEDICAID 30090500 INTERNAL ID-MOTOR VEHICLE ID

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