Keane, Eileen F

Keane, Eileen F is an individual health care provider with primary practice located at 374 Grand Ave , New Haven CT 06513-3733. She recently has 2 registered licenses in different health care specialties including Nursing Service Providers / Pediatrics, Physician Assistants & Advanced Practice Nursing Providers / Pediatrics. Physician Assistants & Advanced Practice Nursing Providers / Pediatrics is her primary health care specialty. Keane, Eileen F can be contacted via phone (203) 777-7411.

Contact Information

Primary practice address
374 Grand Ave New Haven CT 06513-3733
Phone: (203) 777-7411
Fax: (203) 777-8506
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Pediatrics 163WP0200X 006169 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 6169 Connecticut

Profile Details

NPI number 1962413401
LBN Legal business name Keane, Eileen F
Credentials Pediatric Nurse Practitioner (PNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Nov 29th, 2018 - 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 1962413401 NPPES
Massachusetts Other NP9903 BCBS
Massachusetts Other Y10141 BCBS
Massachusetts MEDICAID 1300709 BCBS
Massachusetts Other 56780 BCBS

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