Provider Demographics
NPI:1356417109
Name:KEEFER, FREDERICK FRANKLIN (DC)
Entity type:Individual
Prefix:DR
First Name:FREDERICK
Middle Name:FRANKLIN
Last Name:KEEFER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:KEEFER
Other - Middle Name:CHIROPRACTIC
Other - Last Name:CLINIC
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PC
Mailing Address - Street 1:288 OLD HICKORY RIDGE RD
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-8618
Mailing Address - Country:US
Mailing Address - Phone:724-228-7571
Mailing Address - Fax:724-229-0920
Practice Address - Street 1:288 OLD HICKORY RIDGE RD
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:PA
Practice Address - Zip Code:15301-8618
Practice Address - Country:US
Practice Address - Phone:724-228-7571
Practice Address - Fax:724-229-0920
Is Sole Proprietor?:No
Enumeration Date:2006-11-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC001979L111N00000X
GACHIR001441111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA01877828Medicaid
PA1651920OtherHIGHMARK BC & BS
PA304684OtherUPMC INS. CO.
PA1651920OtherHIGHMARK BC & BS
PAT2 8087Medicare UPIN