Keough, Paul W

Keough, Paul W is an individual health care provider with primary practice located at 135 Webster St , Hanover MA 02339-1200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Keough, Paul W can be contacted via phone (781) 878-7020.

Contact Information

Primary practice address
135 Webster St Hanover MA 02339-1200
Phone: (781) 878-7020
Fax: (781) 871-3590
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 54115 Massachusetts

Profile Details

NPI number 1366426348
LBN Legal business name Keough, Paul W
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 2nd, 2005
Last updated Feb 18th, 2015 - about 10 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 1366426348 NPPES
Massachusetts Other J06133 BCBS
Massachusetts Other 139144 BCBS
Massachusetts MEDICAID 3183297 BCBS
Massachusetts Other 13174 BCBS
Massachusetts Other 2159044 BCBS
Massachusetts Other 708695 BCBS

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