Keller, Thomas C

Keller, Thomas C is an sole proprietor health care provider with primary practice located at 250 Fame Ave Suite 135, Hanover PA 17331-1587. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Keller, Thomas C can be contacted via phone (717) 632-3235.

Contact Information

Primary practice address
250 Fame Ave Suite 135 Hanover PA 17331-1587
Fax: (717) 632-7292
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS013037 Pennsylvania

Profile Details

NPI number 1073587515
LBN Legal business name Keller, Thomas C
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 13th, 2006
Last updated Jul 2nd, 2010 - about 14 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 1073587515 NPPES
Pennsylvania MEDICAID 1010925380001

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