Keeler, Mark H.

Keeler, Mark H. is an sole proprietor health care provider with primary practice located at 687 Highland Ave , Needham MA 02494-2232. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Clinical Neuropsychologist. Behavioral Health & Social Service Providers / Clinical Neuropsychologist is his primary health care specialty. Keeler, Mark H. can be contacted via phone (617) 254-3800.

Contact Information

Primary practice address
687 Highland Ave Needham MA 02494-2232
Phone: (617) 254-3800
Fax: (617) 779-1482
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 7092 Massachusetts
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 7092 Massachusetts

Profile Details

NPI number 1063579183
LBN Legal business name Keeler, Mark H.
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 2nd, 2007
Last updated Mar 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063579183 NPPES
Massachusetts Other W06000 BLUE CROSS-BLUE SHIELD
Massachusetts MEDICAID 110022270A BLUE CROSS-BLUE SHIELD
Massachusetts MEDICAID 0500054 BLUE CROSS-BLUE SHIELD

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