Keller, Jeffrey
Keller, Jeffrey is an individual health care provider with primary practice located at 3100 Channing Way , Idaho Falls ID 83404-7533. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Keller, Jeffrey can be contacted via phone (208) 535-4130.Contact Information
Primary practice address
3100 Channing Way
Idaho Falls ID 83404-7533
Phone: (208) 535-4130
Fax: (208) 535-4125
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | M5386 | Idaho |
Profile Details
| NPI number | 1619956364 |
|---|---|
| LBN Legal business name | Keller, Jeffrey |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 11th, 2006 |
| Last updated | Jul 8th, 2007 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619956364 | NPPES |
| Other | 57984 | BLUE CROSS |
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