BEATRICE KELLER CLINIC, PC; NPI #1467402933
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Contact Information

BEATRICE KELLER CLINIC, PC
13943 N 91ST AVE
C-101
PEORIA, AZ85381-3687
 Phone: 623-972-3992
 Fax: 623-974-9351
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dermatology

207N00000X 07 Physician/Dermatology
Indicates primary specialty

NPI Profile & details for BEATRICE KELLER CLINIC, PC

NPI # 1467402933
LBN Legal business name BEATRICE KELLER CLINIC, PC
Authorized official JAMES GROFF - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 05/12/2006
Last updated 06/11/2008 - About 16 years ago
Identifiers
AZ Other 0813027 AETNA
AZ Other 0846027 AETNA
AZ Other 1467402933 AHCCCS
AZ Other 4265098 CIGNA
AZ Other 188961600 DEPT OF LABOR WORK COMP
AZ Other 000838542 EVERCARE
AZ Other CT0844 RAILROAD MEDICARE
AZ Other 838542 UNITED HEALTH CARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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