Keller, Gary John
Keller, Gary John is an individual health care provider with primary practice located at 2700 Coral Ridge Ave , Coralville IA 52241-4708. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Keller, Gary John can be contacted via phone (319) 626-4279.Contact Information
Primary practice address
2700 Coral Ridge Ave
Coralville IA 52241-4708
Phone: (319) 626-4279
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 3844 | Iowa |
Profile Details
| NPI number | 1821170473 |
|---|---|
| LBN Legal business name | Keller, Gary John |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2006 |
| Last updated | Jan 5th, 2012 - 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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