Jennings-Eakin, Keisha
Jennings-Eakin, Keisha is an sole proprietor health care provider with primary practice located at 658 Boulton St , Bel Air MD 21014-4214. She recently has 4 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Environmental Modification, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Driving and Community Mobility. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist is her primary health care specialty. Jennings-Eakin, Keisha can be contacted via phone (301) 581-8054.Contact Information
Primary practice address
658 Boulton St
Bel Air MD 21014-4214
Phone: (301) 581-8054
Fax: (301) 564-0284
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | 06121 | Maryland |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Environmental Modification | 225XE0001X | 06121 | Maryland |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Gerontology | 225XG0600X | 06121 | Maryland |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Driving and Community Mobility | 225XR0403X | 06121 | Maryland |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist | 225X00000X | T00599 | Maryland |
Profile Details
| NPI number | 1316112527 |
|---|---|
| LBN Legal business name | Jennings-Eakin, Keisha |
| Credentials | Occupational Therapist (OT) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 29th, 2008 |
| Last updated | Sep 22nd, 2020 - about 5 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 | 1316112527 | NPPES |
| Maryland | MEDICAID | 131611257 |
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