Keller, Michael Paul
Keller, Michael Paul is an individual health care provider with primary practice located at 4351 E Lohman Ave Ste 202 , Las Cruces NM 88011-8260. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Keller, Michael Paul can be contacted via phone (575) 522-5955.Contact Information
Primary practice address
4351 E Lohman Ave Ste 202
Las Cruces NM 88011-8260
Phone: (575) 522-5955
Fax: (575) 522-6228
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 2001231 | New Mexico |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 2001231 | New Mexico |
Profile Details
| NPI number | 1306829676 |
|---|---|
| LBN Legal business name | Keller, Michael Paul |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2005 |
| Last updated | Sep 9th, 2020 - about 4 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 | 1306829676 | NPPES |
| New Mexico | MEDICAID | 96339811 |
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