Keller, Justin D
Keller, Justin D is an sole proprietor health care provider with primary practice located at 3510 12Th St 200, Lewiston ID 83501-5575. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Sports Physician, Chiropractic Providers / Chiropractor. Chiropractic Providers / Chiropractor is his primary health care specialty. Keller, Justin D can be contacted via phone (208) 799-3333.Contact Information
Primary practice address
3510 12Th St 200
Lewiston ID 83501-5575
Phone: (208) 799-3333
Fax: (208) 799-3375
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Sports Physician | 111NS0005X | CHIN-1718 | Idaho |
| Chiropractic Providers / Chiropractor | 111N00000X | CHIA-1739 | Idaho |
Profile Details
| NPI number | 1659723989 |
|---|---|
| LBN Legal business name | Keller, Justin D |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 11th, 2016 |
| Last updated | Sep 28th, 2016 - about 8 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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