Earl, Keith

Earl, Keith is an individual health care provider with primary practice located at 3707 E Shields Ave , Fresno CA 93726-7029. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Nursing Service Providers / Licensed Vocational Nurse. Nursing Service Providers / Licensed Vocational Nurse is his primary health care specialty. Earl, Keith can be contacted via phone (559) 229-9040.

Contact Information

Primary practice address
3707 E Shields Ave Fresno CA 93726-7029
Phone: (559) 229-9040
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Nursing Service Providers / Licensed Vocational Nurse 164X00000X 217399 California

Profile Details

NPI number 1912237876
LBN Legal business name Earl, Keith
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 28th, 2009
Last updated Mar 30th, 2021 - about 3 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.

Request for update

Popular Providers