Keller, Jeffery P
Keller, Jeffery P is an individual health care provider with primary practice located at 2600 Sixth Street Sw Ohio Hospital Based Physician Corp, Canton OH 44710. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as his primary health care specialty. Keller, Jeffery P can be contacted via phone (330) 363-7462.Contact Information
Primary practice address
2600 Sixth Street Sw Ohio Hospital Based Physician Corp
Canton OH 44710
Phone: (330) 363-7462
Fax: (330) 363-7679
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered | 367500000X | RN21447 | Ohio |
Profile Details
| NPI number | 1063480713 |
|---|---|
| LBN Legal business name | Keller, Jeffery P |
| Credentials | Certified Registered Nurse Anesthetist (CRNA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2006 |
| Last updated | Jul 13th, 2022 - about 2 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 | 1063480713 | NPPES |
| Ohio | MEDICAID | 0886779 |
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