Keller, Albert R

Keller, Albert R is an individual health care provider with primary practice located at 401 29Th St Suite 109, Oakland CA 94609-3519. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology is his primary health care specialty. Keller, Albert R can be contacted via phone (510) 663-6204.

Contact Information

Primary practice address
401 29Th St Suite 109 Oakland CA 94609-3519
Phone: (510) 663-6204
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatopathology 207ZD0900X G12937 California
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X G12937 California

Profile Details

NPI number 1548273014
LBN Legal business name Keller, Albert R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 14th, 2006
Last updated Nov 12th, 2013 - about 11 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 1548273014 NPPES
California MEDICAID 00G129370

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