Keller, Sean C

Keller, Sean C is an individual health care provider with primary practice located at 13100 E 136Th St Ste 1200, Fishers IN 46037-9417. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Keller, Sean C can be contacted via phone (317) 678-3100.

Contact Information

Primary practice address
13100 E 136Th St Ste 1200 Fishers IN 46037-9417
Fax: (317) 678-3108
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01053956 Indiana
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01053956 Indiana

Profile Details

NPI number 1164466421
LBN Legal business name Keller, Sean C
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2006
Last updated Nov 25th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164466421 NPPES
Indiana MEDICAID 200449180

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