Keller, Charles Robert

Keller, Charles Robert is an sole proprietor health care provider with primary practice located at 1383 W Hunter St , Logan OH 43138-1013. He recently has only one registered license in Allopathic & Osteopathic Physicians / Adult Medicine, which is considered as his primary health care specialty. Keller, Charles Robert can be contacted via phone (740) 385-0202.

Contact Information

Primary practice address
1383 W Hunter St Logan OH 43138-1013
Phone: (740) 385-0202
Fax: (740) 380-2734
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Adult Medicine 207QA0505X 34003787 Ohio

Profile Details

NPI number 1629189311
LBN Legal business name Keller, Charles Robert
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Nov 23rd, 2020 - about 4 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 1629189311 NPPES
Ohio MEDICAID 0565240

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