Keller, Richard Ralph

Keller, Richard Ralph is an individual health care provider with primary practice located at 3103 Campbell St , Sandusky OH 44870. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Keller, Richard Ralph can be contacted via phone (419) 625-4461.

Contact Information

Primary practice address
3103 Campbell St Sandusky OH 44870
Phone: (419) 625-4461
Fax: (419) 625-5199
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 35049138K Ohio

Profile Details

NPI number 1356314421
LBN Legal business name Keller, Richard Ralph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 9th, 2006
Last updated Jul 8th, 2007 - about 18 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 1356314421 NPPES
Ohio MEDICAID 0528923
Ohio Other 000000131844
Ohio Other 04376

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