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

Primary practice address
400 E 3Rd St Duluth MN 55805-1951
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912931627 NPPES
Wisconsin MEDICAID 31657600
Wisconsin MEDICAID 449203000

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