Keane, Elaine Mary
Keane, Elaine Mary is an sole proprietor health care provider with primary practice located at One Baker Place Mineral County Board Of Education, Keyser WV 26726. She recently has only one registered license in Allopathic & Osteopathic Physicians / Occupational Medicine, which is considered as her primary health care specialty. Keane, Elaine Mary can be contacted via phone (304) 788-4200.Contact Information
Primary practice address
One Baker Place Mineral County Board Of Education
Keyser WV 26726
Phone: (304) 788-4200
Fax: (304) 788-6461
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 1150 | West Virginia |
| Allopathic & Osteopathic Physicians / Occupational Medicine | 2083X0100X | 02018 | Maryland |
Profile Details
| NPI number | 1104002401 |
|---|---|
| LBN Legal business name | Keane, Elaine Mary |
| Credentials | OTRL |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 16th, 2008 |
| Last updated | Jan 16th, 2008 - about 16 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 | 1104002401 | NPPES |
| West Virginia | MEDICAID | 3810001121 |
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