Keller, Dwight S

Keller, Dwight S is an individual health care provider with primary practice located at 2940 E Banner Gateway Dr #200, Gilbert AZ 85234-2168. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Keller, Dwight S can be contacted via phone (480) 964-2908.

Contact Information

Primary practice address
2940 E Banner Gateway Dr #200 Gilbert AZ 85234-2168
Phone: (480) 964-2908
Fax: (480) 833-2136
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 14555 Arizona

Profile Details

NPI number 1831130350
LBN Legal business name Keller, Dwight S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 8th, 2006
Last updated Sep 9th, 2011 - about 13 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 1831130350 NPPES
Arizona Other 3Z3969 HEALTHNET
Arizona MEDICAID 283333 HEALTHNET

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