Keck, Ashley Nicole
Keck, Ashley Nicole is an individual health care provider with primary practice located at 2811 Clearwater Ave , Bloomington IL 61704-8190. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Keck, Ashley Nicole can be contacted via phone (574) 361-9008.Contact Information
Primary practice address
2811 Clearwater Ave
Bloomington IL 61704-8190
Phone: (574) 361-9008
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | 096.003425 | Illinois |
Profile Details
| NPI number | 1447642806 |
|---|---|
| LBN Legal business name | Keck, Ashley Nicole |
| Credentials | MS, LAT, ATC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 23rd, 2015 |
| Last updated | Feb 23rd, 2015 - about 9 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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