Keller, Michael G
Keller, Michael G is an sole proprietor health care provider with primary practice located at 3133 Saba Ln , Port Neches TX 77651. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Keller, Michael G can be contacted via phone (409) 962-7606.Contact Information
Primary practice address
3133 Saba Ln
Port Neches TX 77651
Phone: (409) 962-7606
Fax: (409) 962-6027
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | F1700 | Texas |
Profile Details
| NPI number | 1417945734 |
|---|---|
| LBN Legal business name | Keller, Michael G |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 11th, 2005 |
| Last updated | May 31st, 2018 - about 6 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 | 1417945734 | NPPES |
| Texas | MEDICAID | 093658503 |
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