Keck, Randy
Keck, Randy is an sole proprietor health care provider with primary practice located at 931 Catfish Ln , Pottstown PA 19465-7305. He recently has only one registered license in Other Service Providers / Home Modifications, which is considered as his primary health care specialty. Keck, Randy can be contacted via phone (484) 366-4022.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Home Modifications | 171WH0202X | PA096084 | Pennsylvania |
Profile Details
| NPI number | 1235605338 |
|---|---|
| LBN Legal business name | Keck, Randy |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 17th, 2018 |
| Last updated | Oct 17th, 2018 - about 6 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 | 1235605338 | NPPES |
| Pennsylvania | MEDICAID | 1028954670003 |
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