Keiper, Mark Douglas

Keiper, Mark Douglas is an individual health care provider with primary practice located at Emile 42Nd St , Omaha NE 68198-1045. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Neuroradiology. Allopathic & Osteopathic Physicians / Neuroradiology is his primary health care specialty. Keiper, Mark Douglas can be contacted via phone (402) 559-1010.

Contact Information

Primary practice address
Emile 42Nd St Omaha NE 68198-1045
Phone: (402) 559-1010
Fax: (402) 559-1011
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X 25156 Arizona
Allopathic & Osteopathic Physicians / Neuroradiology 2085N0700X 26397 Nebraska

Profile Details

NPI number 1306835368
LBN Legal business name Keiper, Mark Douglas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 20th, 2005
Last updated Nov 23rd, 2016 - about 8 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 1306835368 NPPES
Arizona MEDICAID 389652

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