Keen, Marc Elwin

Keen, Marc Elwin is an individual health care provider with primary practice located at 1 N Atkinson Dr , Ludington MI 49431-1906. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cytopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Keen, Marc Elwin can be contacted via phone (231) 845-2362.

Contact Information

Primary practice address
1 N Atkinson Dr Ludington MI 49431-1906
Phone: (231) 845-2362
Fax: (231) 845-2440
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cytopathology 207ZC0500X 4301057451 Michigan
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X 4301057451 Michigan

Profile Details

NPI number 1851362966
LBN Legal business name Keen, Marc Elwin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Jan 15th, 2008 - about 17 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 1851362966 NPPES
Michigan MEDICAID 2773078
Michigan Other 2205330071

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