Keaton, Jacob

Keaton, Jacob is an individual health care provider with primary practice located at 348 Northridge Dr , Lewisburg WV 24901-0010. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Assistant Behavior Analyst, Nursing Service Related Providers / Day Training/Habilitation Specialist, Nursing Service Providers / Psychiatric/Mental Health. Nursing Service Providers / Psychiatric/Mental Health is his primary health care specialty. Keaton, Jacob can be contacted via phone (304) 661-3825.

Contact Information

Primary practice address
348 Northridge Dr Lewisburg WV 24901-0010
Phone: (304) 661-3825
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Assistant Behavior Analyst 106E00000X
Nursing Service Related Providers / Day Training/Habilitation Specialist 373H00000X
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 164W00000X West Virginia

Profile Details

NPI number 1164048229
LBN Legal business name Keaton, Jacob
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 24th, 2020
Last updated Jun 24th, 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.

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