Keller, Jeffery W

Keller, Jeffery W is an individual health care provider with primary practice located at 2845 Greenbrier Rd Ste 230 , Green Bay WI 54311-6519. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Keller, Jeffery W can be contacted via phone (920) 288-8250.

Contact Information

Primary practice address
2845 Greenbrier Rd Ste 230 Green Bay WI 54311-6519
Phone: (920) 288-8250
Fax: (920) 288-8255
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 37375 Wisconsin

Profile Details

NPI number 1902834443
LBN Legal business name Keller, Jeffery W
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Aug 29th, 2008 - about 17 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 1902834443 NPPES
Michigan MEDICAID 104365046
Michigan Other 010061732
Michigan MEDICAID 32004300
Michigan MEDICAID 104289839

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