Keisler, Brian David
Keisler, Brian David is an individual health care provider with primary practice located at 3209 Colonial Dr , Columbia SC 29203-6930. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Keisler, Brian David can be contacted via phone (803) 434-6113.Contact Information
Primary practice address
3209 Colonial Dr
Columbia SC 29203-6930
Phone: (803) 434-6113
Fax: (803) 434-7231
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 27123 | South Carolina |
Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 27123 | South Carolina |
Profile Details
NPI number | 1750357554 |
---|---|
LBN Legal business name | Keisler, Brian David |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 23rd, 2006 |
Last updated | Jun 2nd, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1750357554 | NPPES |
South Carolina | MEDICAID | 271235 |
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