Keenan, Patrick

Keenan, Patrick is an individual health care provider with primary practice located at 147 Allen St , Rutland VT 05701-4555. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Keenan, Patrick can be contacted via phone (802) 775-1901.

Contact Information

Primary practice address
147 Allen St Rutland VT 05701-4555
Phone: (802) 775-1901
Fax: (802) 775-1974
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 042-0005344 Vermont

Profile Details

NPI number 1679545669
LBN Legal business name Keenan, Patrick
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Jul 18th, 2013 - about 12 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 1679545669 NPPES
Vermont MEDICAID 0009658

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