Keegan, Leo M
Keegan, Leo M is an individual health care provider with primary practice located at 1125 5Th Ave , New York NY 10128-0143. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Keegan, Leo M can be contacted via phone (212) 288-9800.Contact Information
Primary practice address
1125 5Th Ave
New York NY 10128-0143
Phone: (212) 288-9800
Fax: (212) 860-7446
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Plastic Surgery | 208200000X | 172658 | New York |
Profile Details
| NPI number | 1114934783 |
|---|---|
| LBN Legal business name | Keegan, Leo M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 3rd, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1114934783 | NPPES |
| New Jersey | Other | 61858 | MEDICAL LICENSE |
| New Jersey | Other | 172658 | MEDICAL LICENSE |
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