Keller, Eric
Keller, Eric is an individual health care provider with primary practice located at 4005 High Resort Blvd Se Pmg High Resort 4005, Rio Rancho NM 87124-5906. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Keller, Eric can be contacted via phone (505) 462-6000.Contact Information
Primary practice address
4005 High Resort Blvd Se Pmg High Resort 4005
Rio Rancho NM 87124-5906
Phone: (505) 462-6000
Fax: (505) 462-8686
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 92164 | New Mexico |
Profile Details
| NPI number | 1508950981 |
|---|---|
| LBN Legal business name | Keller, Eric |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 3rd, 2006 |
| Last updated | Mar 24th, 2016 - about 8 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 | 1508950981 | NPPES |
| New Mexico | MEDICAID | E4725 |
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