Keenan, Timothy G
Keenan, Timothy G is an individual health care provider with primary practice located at 118 Portsmouth Ave Bldg D , Stratham NH 03885-2487. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Keenan, Timothy G can be contacted via phone (603) 778-1620.Contact Information
Primary practice address
118 Portsmouth Ave Bldg D
Stratham NH 03885-2487
Phone: (603) 778-1620
Fax: (603) 772-8015
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 13165 | New Hampshire |
Profile Details
| NPI number | 1508851791 |
|---|---|
| LBN Legal business name | Keenan, Timothy G |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Nov 16th, 2023 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508851791 | NPPES |
| New Hampshire | MEDICAID | 3076277 |
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