Keleher, Mike

Keleher, Mike is an individual health care provider with primary practice located at 1540 Maple Rd , Williamsville NY 14221-3647. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Keleher, Mike can be contacted via phone (716) 878-7662.

Contact Information

Primary practice address
1540 Maple Rd Williamsville NY 14221-3647
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X F350078-1 New York

Profile Details

NPI number 1174590715
LBN Legal business name Keleher, Mike
Credentials RNC,NNP
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 2nd, 2006
Last updated Jul 8th, 2007 - about 18 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 1174590715 NPPES
New York MEDICAID 02023009

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