Keller, Douglas

Keller, Douglas is an sole proprietor health care provider with primary practice located at 420 W Montauk Hwy Suite3, Babylon NY 11702-3008. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Keller, Douglas can be contacted via phone (631) 669-0027.

Contact Information

Primary practice address
420 W Montauk Hwy Suite3 Babylon NY 11702-3008
Fax: (631) 669-0054
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X 035664 New York

Profile Details

NPI number 1609245844
LBN Legal business name Keller, Douglas
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 17th, 2015
Last updated Sep 17th, 2015 - about 9 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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