Keating, Alan M.
Keating, Alan M. is an individual health care provider with primary practice located at 1553 Janmar Rd , Snellville GA 30078-5606. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Keating, Alan M. can be contacted via phone (770) 554-5009.Contact Information
Primary practice address
1553 Janmar Rd
Snellville GA 30078-5606
Phone: (770) 554-5009
Fax: (706) 546-8792
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 2995 | Georgia |
Profile Details
NPI number | 1063487015 |
---|---|
LBN Legal business name | Keating, Alan M. |
Credentials | Physician's Assistant Certified (PA-C) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 22nd, 2006 |
Last updated | Mar 11th, 2024 - about last year |
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 | 1063487015 | NPPES |
Other | 11945081 | CAQH # |
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