Kelleher, Michael John
Kelleher, Michael John is an individual health care provider with primary practice located at 106 Milford Street Suite 101, Salisbury MD 21804. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Allopathic & Osteopathic Physicians / Otolaryngic Allergy. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Kelleher, Michael John can be contacted via phone (410) 742-1567.Contact Information
Primary practice address
106 Milford Street Suite 101
Salisbury MD 21804
Phone: (410) 742-1567
Fax: (410) 742-1906
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | D40516 | Maryland |
| Allopathic & Osteopathic Physicians / Otolaryngic Allergy | 207YX0602X | D40516 | Maryland |
Profile Details
| NPI number | 1417046004 |
|---|---|
| LBN Legal business name | Kelleher, Michael John |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 12th, 2006 |
| Last updated | Aug 23rd, 2010 - about 15 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 | 1417046004 | NPPES |
| Maryland | MEDICAID | 091591200 |
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