Keppler, Edward L

Keppler, Edward L is an individual health care provider with primary practice located at 330 N Wabash Suite G20, Marion IN 46952-2555. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Keppler, Edward L can be contacted via phone (765) 660-7600.

Contact Information

Primary practice address
330 N Wabash Suite G20 Marion IN 46952-2555
Phone: (765) 660-7600
Fax: (765) 651-7313
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 01026272 Indiana
Allopathic & Osteopathic Physicians / Surgery 208600000X 01031244A Indiana

Profile Details

NPI number 1104828334
LBN Legal business name Keppler, Edward L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2005
Last updated Dec 26th, 2014 - 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 1104828334 NPPES
Indiana MEDICAID 100377800
Indiana Other 000000751385

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