Keeley, Daniel

Keeley, Daniel is an individual health care provider with primary practice located at 9555 Upland Ln N , Maple Grove MN 55369-4485. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Keeley, Daniel can be contacted via phone (952) 993-1440.

Contact Information

Primary practice address
9555 Upland Ln N Maple Grove MN 55369-4485
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 38838 Minnesota

Profile Details

NPI number 1073627220
LBN Legal business name Keeley, Daniel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2006
Last updated Feb 12th, 2016 - about 8 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 1073627220 NPPES
Minnesota MEDICAID 447222500

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