Keller, Michael I

Keller, Michael I is an sole proprietor health care provider with primary practice located at 3633 Camino Del Rio S #300, San Diego CA 92108-4011. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Keller, Michael I can be contacted via phone (619) 287-0404.

Contact Information

Primary practice address
3633 Camino Del Rio S #300 San Diego CA 92108-4011
Phone: (619) 287-0404
Fax: (619) 398-1869
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X G28715 California

Profile Details

NPI number 1669541827
LBN Legal business name Keller, Michael I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 6th, 2006
Last updated Mar 3rd, 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 1669541827 NPPES
California MEDICAID 00G287150
California Other 953184232

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