Keller, Richard L
Keller, Richard L is an individual health care provider with primary practice located at 285 W 12Th St Ste 102 , Peru IN 46970-1654. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Keller, Richard L can be contacted via phone (765) 472-4356.Contact Information
Primary practice address
285 W 12Th St Ste 102
Peru IN 46970-1654
Phone: (765) 472-4356
Fax: (260) 479-2927
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 01051573A | Indiana |
Profile Details
| NPI number | 1265497515 |
|---|---|
| LBN Legal business name | Keller, Richard L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2006 |
| Last updated | Sep 15th, 2021 - 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 | 1265497515 | NPPES |
| Indiana | MEDICAID | 200327580 |
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