Banker, Keith Merwin

Banker, Keith Merwin is an individual health care provider with primary practice located at 24077 State Highway 49 , Nevada City CA 95959-8519. He recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Banker, Keith Merwin can be contacted via phone (530) 265-9057.

Contact Information

Primary practice address
24077 State Highway 49 Nevada City CA 95959-8519
Phone: (530) 265-9057
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Practitioner 225400000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Behavioral Health & Social Service Providers / Counselor 101Y00000X California

Profile Details

NPI number 1306405774
LBN Legal business name Banker, Keith Merwin
Credentials MHRS
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 10th, 2019
Last updated Nov 19th, 2020 - about 5 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 1306405774 NPPES
California Other 101Y00000X COUNSELOR

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