Hooten, Keisha

Hooten, Keisha is an individual health care provider with primary practice located at 290 Concord St , Dix Hills NY 11746-6830. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Hooten, Keisha can be contacted via phone (631) 865-0261.

Contact Information

Primary practice address
290 Concord St Dix Hills NY 11746-6830
Phone: (631) 865-0261
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X 254202 New York

Profile Details

NPI number 1306093810
LBN Legal business name Hooten, Keisha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 26th, 2008
Last updated Jan 25th, 2017 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306093810 NPPES
New York MEDICAID 01953617

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