Gerhard, Ian Jonas Keene
Gerhard, Ian Jonas Keene is an sole proprietor health care provider with primary practice located at 10763 Standing Stone Dr , Wimauma FL 33598-6164. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Gerhard, Ian Jonas Keene can be contacted via phone (813) 758-2642.Contact Information
Primary practice address
10763 Standing Stone Dr
Wimauma FL 33598-6164
Phone: (813) 758-2642
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | MH19065 | Florida |
Profile Details
| NPI number | 1629642145 |
|---|---|
| LBN Legal business name | Gerhard, Ian Jonas Keene |
| Credentials | LMHC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 19th, 2021 |
| Last updated | May 19th, 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.
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