Keadle, Heather J
Keadle, Heather J is an individual health care provider with primary practice located at 219 Human Services Rd , Clinton SC 29325-7548. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Keadle, Heather J can be contacted via phone (864) 833-6500.Contact Information
Primary practice address
219 Human Services Rd
Clinton SC 29325-7548
Phone: (864) 833-6500
Fax: (864) 833-6905
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1881933281 |
|---|---|
| LBN Legal business name | Keadle, Heather J |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 5th, 2013 |
| Last updated | Feb 5th, 2013 - about 12 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 | 1881933281 | NPPES |
| South Carolina | MEDICAID | 1972532075 |
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