Porte Keene, Deanna L

Porte Keene, Deanna L is an individual health care provider with primary practice located at 1650 45Th Ave Suite C, Munster IN 46321-3962. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Porte Keene, Deanna L can be contacted via phone (219) 924-2444.

Contact Information

Primary practice address
1650 45Th Ave Suite C Munster IN 46321-3962
Phone: (219) 924-2444
Fax: (219) 924-2488
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 01029185 Indiana

Profile Details

NPI number 1265424675
LBN Legal business name Porte Keene, Deanna L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2005
Last updated Jun 21st, 2010 - about 14 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 1265424675 NPPES
Indiana Other 000000360206 ANTHEM BCBS
Indiana Other 351107009014 ANTHEM BCBS
Indiana Other P0029848 ANTHEM BCBS

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