Keck, Joyce R

Keck, Joyce R is an sole proprietor health care provider with primary practice located at 652 Madison 3375 , Witter AR 72776-8067. She recently has only one registered license in Nursing Service Related Providers / Attendant Care Provider, which is considered as her primary health care specialty. Keck, Joyce R can be contacted via phone (479) 232-5755.

Contact Information

Primary practice address
652 Madison 3375 Witter AR 72776-8067
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Attendant Care Provider 3747A0650X

Profile Details

NPI number 1053586735
LBN Legal business name Keck, Joyce R
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 24th, 2008
Last updated Apr 24th, 2008 - about 16 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 1053586735 NPPES
Arkansas MEDICAID 167262783

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