Keoleian, Charles M

Keoleian, Charles M is an individual health care provider with primary practice located at 1040 Delaware Ave , Marion OH 43302-6416. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Keoleian, Charles M can be contacted via phone (740) 383-7950.

Contact Information

Primary practice address
1040 Delaware Ave Marion OH 43302-6416
Phone: (740) 383-7950
Fax: (740) 375-8164
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 4301054366 Michigan
Allopathic & Osteopathic Physicians / Urology 208800000X 35.140177 Ohio

Profile Details

NPI number 1356325674
LBN Legal business name Keoleian, Charles M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Jul 17th, 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1356325674 NPPES
Michigan Other 10534 MCARE
Michigan Other 133384 MCARE
Michigan MEDICAID 4973505 MCARE
Michigan Other CK054366 MCARE
Michigan MEDICAID 4387203 MCARE
Michigan Other 340634410-1 MCARE
Michigan Other 340019725 MCARE
Michigan Other G14839 MCARE
Michigan Other 5281117 MCARE

Popular Providers