Keller, Michael Alan
Keller, Michael Alan is an individual health care provider with primary practice located at 404 W. Grand Crossing , Mobridge SD 57601-2046. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Keller, Michael Alan can be contacted via phone (605) 845-7808.Contact Information
Primary practice address
404 W. Grand Crossing
Mobridge SD 57601-2046
Phone: (605) 845-7808
Fax: (605) 845-5808
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 847 | South Dakota |
Profile Details
| NPI number | 1083694657 |
|---|---|
| LBN Legal business name | Keller, Michael Alan |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Feb 7th, 2014 - about 11 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 | 1083694657 | NPPES |
| South Dakota | MEDICAID | 7604004 |
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