Keizer, Philip John

Keizer, Philip John is an individual health care provider with primary practice located at 1255 Hilyard St , Eugene OR 97401. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Keizer, Philip John can be contacted via phone (541) 687-7134.

Contact Information

Primary practice address
1255 Hilyard St Eugene OR 97401
Phone: (541) 687-7134
Fax: (541) 687-7135
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD21430 Oregon

Profile Details

NPI number 1235247073
LBN Legal business name Keizer, Philip John
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2006
Last updated May 14th, 2008 - about 16 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 1235247073 NPPES
Alaska MEDICAID MD5334R
Alaska MEDICAID MD5333R
Alaska MEDICAID 130052
Alaska MEDICAID 8390593

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