Keatley, Scott
Keatley, Scott is an sole proprietor health care provider with primary practice located at 596 Broadway Ste 302, New York NY 10012-3396. He recently has 4 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Nutritionist, Dietary & Nutritional Service Providers / Dietitian, Registered, Dietary & Nutritional Service Providers / Nutrition, Renal, Dietary & Nutritional Service Providers / Nutrition, Metabolic. Dietary & Nutritional Service Providers / Nutrition, Metabolic is his primary health care specialty. Keatley, Scott can be contacted via phone (800) 571-8276.Contact Information
Primary practice address
596 Broadway Ste 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 | 009107 | New York |
Dietary & Nutritional Service Providers / Dietitian, Registered | 133V00000X | ||
Dietary & Nutritional Service Providers / Nutrition, Renal | 133VN1005X | 009107 | New York |
Dietary & Nutritional Service Providers / Nutrition, Metabolic | 133VN1006X | 009107 | New York |
Profile Details
NPI number | 1619327129 |
---|---|
LBN Legal business name | Keatley, Scott |
Credentials | RD, CDN |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jun 15th, 2016 |
Last updated | Jul 21st, 2022 - about 3 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 | 1619327129 | NPPES |
New York | Other | 6004111 | AETNA |
New York | Other | NU009107 | AETNA |
New York | Other | 009107 | AETNA |
New York | Other | 06090442 | AETNA |
New York | Other | 75762436 | AETNA |
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