Keogh, W Alan

Keogh, W Alan is an individual health care provider with primary practice located at 1 Medical Center Blvd Ste 341, Upland PA 19013-3902. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Keogh, W Alan can be contacted via phone (610) 619-7420.

Contact Information

Primary practice address
1 Medical Center Blvd Ste 341 Upland PA 19013-3902
Phone: (610) 619-7420
Fax: (610) 876-6923
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X OS0003816L Pennsylvania
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 25MB07696300 New Jersey
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X C20009108 Delaware

Profile Details

NPI number 1205827730
LBN Legal business name Keogh, W Alan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 3rd, 2005
Last updated Jul 11th, 2012 - about 13 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 1205827730 NPPES
Pennsylvania MEDICAID 001146510-0002

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