Keucher, Thomas R.

Keucher, Thomas R. is an individual health care provider with primary practice located at 100 Navarre Pl Suite 6600, South Bend IN 46601-1156. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Neurological Surgery. Other Service Providers / Specialist is his primary health care specialty. Keucher, Thomas R. can be contacted via phone (574) 232-7227.

Contact Information

Primary practice address
100 Navarre Pl Suite 6600 South Bend IN 46601-1156
Phone: (574) 232-7227
Fax: (574) 232-2064
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 01024403A Indiana
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 01024403A Indiana

Profile Details

NPI number 1114956497
LBN Legal business name Keucher, Thomas R.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2006
Last updated Oct 14th, 2010 - about 16 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 1114956497 NPPES
Indiana MEDICAID 100346270A

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