Keenan, James Peter

Keenan, James Peter is an sole proprietor health care provider with primary practice located at 21 N Portland St , Fond Du Lac WI 54935-3465. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Keenan, James Peter can be contacted via phone (920) 922-8060.

Contact Information

Primary practice address
21 N Portland St Fond Du Lac WI 54935-3465
Phone: (920) 922-8060
Fax: (920) 926-7618
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 5000172-015 Wisconsin

Profile Details

NPI number 1043342025
LBN Legal business name Keenan, James Peter
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 12th, 2007
Last updated Jul 8th, 2007 - 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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