Keene, Matthew S
Keene, Matthew S is an sole proprietor health care provider with primary practice located at 12409 W Indian School Rd C-306, Avondale AZ 85392-9502. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Keene, Matthew S can be contacted via phone (623) 777-9970.Contact Information
Primary practice address
12409 W Indian School Rd C-306
Avondale AZ 85392-9502
Phone: (623) 777-9970
Fax: (888) 420-4978
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 23083 | Arizona |
Profile Details
| NPI number | 1184790164 |
|---|---|
| LBN Legal business name | Keene, Matthew S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 28th, 2006 |
| Last updated | Oct 29th, 2013 - about 11 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 | 1184790164 | NPPES |
| Arizona | Other | AZ0871440 | BCBS OF AZ |
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