Keogh, Michael J

Keogh, Michael J is an individual health care provider with primary practice located at 975 Kirman Ave , Reno NV 89502-0993. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Cardiovascular Disease is his primary health care specialty. Keogh, Michael J can be contacted via phone (888) 838-6256.

Contact Information

Primary practice address
975 Kirman Ave Reno NV 89502-0993
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 9500969 North Carolina
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 9500969 North Carolina

Profile Details

NPI number 1962509323
LBN Legal business name Keogh, Michael J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Dec 17th, 2019 - about 6 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 1962509323 NPPES
North Carolina MEDICAID 8948151

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