Keeling, Faris Eldon
Keeling, Faris Eldon is an individual health care provider with primary practice located at 400 E 3Rd St , Duluth MN 55805-1951. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Keeling, Faris Eldon can be contacted via phone (218) 786-8364.Contact Information
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 24802 | Minnesota |
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 24802 | Minnesota |
Profile Details
NPI number | 1912931627 |
---|---|
LBN Legal business name | Keeling, Faris Eldon |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 10th, 2006 |
Last updated | May 10th, 2011 - about 14 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 | 1912931627 | NPPES |
Wisconsin | MEDICAID | 31657600 | |
Wisconsin | MEDICAID | 449203000 |
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