Keehn, Douglas
Keehn, Douglas is an individual health care provider with primary practice located at 1604 Madison Ave , Fort Atkinson WI 53538-3101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pain Medicine, which is considered as his primary health care specialty. Keehn, Douglas can be contacted via phone (920) 568-6596.Contact Information
Primary practice address
1604 Madison Ave
Fort Atkinson WI 53538-3101
Phone: (920) 568-6596
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 43692 | Wisconsin |
Profile Details
| NPI number | 1942277751 |
|---|---|
| LBN Legal business name | Keehn, Douglas |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 1st, 2006 |
| Last updated | Oct 7th, 2022 - about 3 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 | 1942277751 | NPPES |
| Wisconsin | MEDICAID | 30892600 |
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