Keck, Deborah Ann

Keck, Deborah Ann is an individual health care provider with primary practice located at 3 Medical Plaza Dr Ste 220 , Roseville CA 95661-3088. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Keck, Deborah Ann can be contacted via phone (916) 773-7920.

Contact Information

Primary practice address
3 Medical Plaza Dr Ste 220 Roseville CA 95661-3088
Phone: (916) 773-7920
Fax: (916) 773-7919
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist 231H00000X AU1094 California

Profile Details

NPI number 1215359534
LBN Legal business name Keck, Deborah Ann
Credentials M.S., CCC-A
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 7th, 2014
Last updated Feb 3rd, 2022 - about 2 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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Identifiers

StateTypeNumberIssuer
All States NPI 1215359534 NPPES
California MEDICAID AU1094
California Other AU1094

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