Keane, Thomas G

Keane, Thomas G is an individual health care provider with primary practice located at 201 N Eugene St , Greensboro NC 27401-2221. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Keane, Thomas G can be contacted via phone (336) 641-4956.

Contact Information

Primary practice address
201 N Eugene St Greensboro NC 27401-2221
Phone: (336) 641-4956
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Psychologist 103T00000X 1206 North Carolina

Profile Details

NPI number 1730243916
LBN Legal business name Keane, Thomas G
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 21st, 2006
Last updated Jul 8th, 2007 - about 17 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 1730243916 NPPES
North Carolina MEDICAID 6000749

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