O'Keeffe, Shane Damien

O'Keeffe, Shane Damien is an individual health care provider with primary practice located at 350 Park St Suite 210, Bowling Green KY 42101-1784. He recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular Surgery, which is considered as his primary health care specialty. O'Keeffe, Shane Damien can be contacted via phone (270) 796-3330.

Contact Information

Primary practice address
350 Park St Suite 210 Bowling Green KY 42101-1784
Phone: (270) 796-3330
Fax: (270) 796-3338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 43021 Kentucky

Profile Details

NPI number 1003060294
LBN Legal business name O'Keeffe, Shane Damien
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 14th, 2008
Last updated Feb 6th, 2017 - about 7 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 1003060294 NPPES
Other 000000779824 BCBS
MEDICAID 7100143600 BCBS
Other 43021 BCBS

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