Keatley, Gina Angel
Keatley, Gina Angel is an sole proprietor health care provider with primary practice located at 596 Broadway Suite 302, New York NY 10012-3396. She recently has 4 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Nutrition, Renal, Dietary & Nutritional Service Providers / Nutrition, Metabolic, Dietary & Nutritional Service Providers / Dietitian, Registered. Dietary & Nutritional Service Providers / Dietitian, Registered is her primary health care specialty. Keatley, Gina Angel can be contacted via phone (800) 571-8276.Contact Information
Primary practice address
596 Broadway Suite 302
New York NY 10012-3396
Phone: (800) 571-8276
Fax: (888) 974-0289
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutritionist | 133N00000X | 007594 | New York |
| Dietary & Nutritional Service Providers / Nutrition, Renal | 133VN1005X | 007594 | New York |
| Dietary & Nutritional Service Providers / Nutrition, Metabolic | 133VN1006X | 007594 | New York |
| Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | 007594 | New York |
Profile Details
| NPI number | 1164775649 |
|---|---|
| LBN Legal business name | Keatley, Gina Angel |
| Credentials | MBA, CDN |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 20th, 2012 |
| Last updated | Jul 10th, 2020 - about 4 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 | 1164775649 | NPPES |
| Other | P4751979 | OXFORD | |
| Other | PH56000 | OXFORD | |
| Other | NU007594-B85 | OXFORD | |
| Other | 003588303001 | OXFORD | |
| Other | 0000358830304 | OXFORD | |
| Other | 3343362 | OXFORD | |
| Other | 01901192 | OXFORD | |
| Other | 126DB3 | OXFORD | |
| Other | SEIU147289 | OXFORD | |
| Other | 2305722 | OXFORD | |
| Other | 9388910 | OXFORD |
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