Keitner, Gabor Istvan

Keitner, Gabor Istvan is an individual health care provider with primary practice located at 593 Eddy Street Potter 3, Providence RI 02903-4923. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Psychiatry, Allopathic & Osteopathic Physicians / Geriatric Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Keitner, Gabor Istvan can be contacted via phone (401) 444-3534.

Contact Information

Primary practice address
593 Eddy Street Potter 3 Providence RI 02903-4923
Fax: (401) 444-3298
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X MD05632 Rhode Island
Allopathic & Osteopathic Physicians / Geriatric Psychiatry 2084P0805X MD05632 Rhode Island

Profile Details

NPI number 1346224953
LBN Legal business name Keitner, Gabor Istvan
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2005
Last updated Mar 12th, 2012 - about 13 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 1346224953 NPPES
Rhode Island MEDICAID 9006028

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