Bankert, Keely
Bankert, Keely is an sole proprietor health care provider with primary practice located at 2600 6Th St Sw , Canton OH 44710-1702. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Bankert, Keely can be contacted via phone (330) 456-2695.Contact Information
Primary practice address
2600 6Th St Sw
Canton OH 44710-1702
Phone: (330) 456-2695
Fax: (330) 588-8605
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | 16652-NP | Ohio |
Profile Details
| NPI number | 1982008496 |
|---|---|
| LBN Legal business name | Bankert, Keely |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 13th, 2014 |
| Last updated | Mar 18th, 2019 - about 7 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1982008496 | NPPES |
| Ohio | MEDICAID | 0112195 |
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