Keller, Irvin Basil

Keller, Irvin Basil is an sole proprietor health care provider with primary practice located at 3790 7Th Ter Suite 201, Vero Beach FL 32960-6552. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Keller, Irvin Basil can be contacted via phone (772) 569-9611.

Contact Information

Primary practice address
3790 7Th Ter Suite 201 Vero Beach FL 32960-6552
Phone: (772) 569-9611
Fax: (772) 569-9615
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X ME19360 Florida

Profile Details

NPI number 1821036492
LBN Legal business name Keller, Irvin Basil
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 3rd, 2006
Last updated Mar 23rd, 2010 - about 14 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 1821036492 NPPES
Florida MEDICAID 051314800

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