1467408161 NPI number — DR. JOSEPH LOWELL KELLER D.C.

Table of content: DR. JOSEPH LOWELL KELLER D.C. (NPI 1467408161)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1467408161 NPI number — DR. JOSEPH LOWELL KELLER D.C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KELLER
Provider First Name:
JOSEPH
Provider Middle Name:
LOWELL
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
D.C.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1467408161
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
09/26/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
2601 1ST ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ATWATER
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
95301-2906
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
209-358-6464
Provider Business Mailing Address Fax Number:
209-358-6534

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2601 1ST ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ATWATER
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
95301-2906
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
209-358-6464
Provider Business Practice Location Address Fax Number:
209-358-6534
Provider Enumeration Date:
05/25/2006

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 111N00000X , with the licence number:  14111 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: DC0141110 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".