Keenan, Thomas P

Keenan, Thomas P is an individual health care provider with primary practice located at 190 Campus Blvd Ste 210 , Winchester VA 22601-2872. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Keenan, Thomas P can be contacted via phone (540) 536-5820.

Contact Information

Primary practice address
190 Campus Blvd Ste 210 Winchester VA 22601-2872
Phone: (540) 536-5820
Fax: (540) 536-5821
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0101025849 Virginia

Profile Details

NPI number 1164456307
LBN Legal business name Keenan, Thomas P
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 11th, 2006
Last updated Jul 9th, 2021 - about 4 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 1164456307 NPPES
Virginia MEDICAID 006307761
Virginia Other 005808

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