Keeven, Leonard James Shawn
Keeven, Leonard James Shawn is an individual health care provider with primary practice located at 600 John Deere Rd Ste 404, Moline IL 61265-6869. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Keeven, Leonard James Shawn can be contacted via phone (309) 779-3627.Contact Information
Primary practice address
600 John Deere Rd Ste 404
Moline IL 61265-6869
Phone: (309) 779-3627
Fax: (309) 779-4500
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036115130 | Illinois |
Profile Details
NPI number | 1750347035 |
---|---|
LBN Legal business name | Keeven, Leonard James Shawn |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 25th, 2006 |
Last updated | Feb 5th, 2015 - about 10 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 | 1750347035 | NPPES |
Illinois | Other | P01079966 | RR MEDICARE |
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