Keller, Stephen Robert
Keller, Stephen Robert is an individual health care provider with primary practice located at 36921 Cook St Suite 104, Palm Desert CA 92211-6070. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Keller, Stephen Robert can be contacted via phone (760) 341-7373.Contact Information
Primary practice address
36921 Cook St Suite 104
Palm Desert CA 92211-6070
Phone: (760) 341-7373
Fax: (760) 341-8383
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT10085T | California |
Profile Details
| NPI number | 1770550345 |
|---|---|
| LBN Legal business name | Keller, Stephen Robert |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 2nd, 2006 |
| Last updated | Sep 18th, 2015 - about 9 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 | 1770550345 | NPPES |
| California | MEDICAID | SD0100850 |
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