Keller, Patrick Raymond
Keller, Patrick Raymond is an individual health care provider with primary practice located at 725 American Ave , Waukesha WI 53188-5031. He recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as his primary health care specialty. Keller, Patrick Raymond can be contacted via phone (262) 928-2400.Contact Information
Primary practice address
725 American Ave
Waukesha WI 53188-5031
Phone: (262) 928-2400
Fax: (414) 235-4766
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Diagnostic Radiology | 2085R0202X | 41469-020 | Wisconsin |
Profile Details
| NPI number | 1801817499 |
|---|---|
| LBN Legal business name | Keller, Patrick Raymond |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 21st, 2006 |
| Last updated | Dec 14th, 2012 - about 13 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 | 1801817499 | NPPES |
| Wisconsin | MEDICAID | 34166900 |
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