Bumgardner, Keaton

Bumgardner, Keaton is an individual health care provider with primary practice located at 3111 Electric Ave , Port Huron MI 48060-8127. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Bumgardner, Keaton can be contacted via phone (810) 985-8900.

Contact Information

Primary practice address
3111 Electric Ave Port Huron MI 48060-8127
Phone: (810) 985-8900
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X 6802088261 Michigan

Profile Details

NPI number 1699171355
LBN Legal business name Bumgardner, Keaton
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2014
Last updated Nov 7th, 2014 - about 11 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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