Keck, Martha Jean

Keck, Martha Jean is an individual health care provider with primary practice located at 1 Cedar Crest Village Dr , Pompton Plains NJ 07444-2100. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Keck, Martha Jean can be contacted via phone (973) 831-3540.

Contact Information

Primary practice address
1 Cedar Crest Village Dr Pompton Plains NJ 07444-2100
Phone: (973) 831-3540
Fax: (973) 831-3503
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X NR49634 New Jersey

Profile Details

NPI number 1942255443
LBN Legal business name Keck, Martha Jean
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2006
Last updated May 6th, 2015 - about 11 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 1942255443 NPPES
New Jersey MEDICAID 8850704

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