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:
Health care specialties
Specialty | Code | License # | 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 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1942255443 | NPPES |
New Jersey | MEDICAID | 8850704 |
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