Keck, Roberta
Keck, Roberta is an sole proprietor health care provider with primary practice located at 323 W Washington St , Macomb IL 61455-2118. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Keck, Roberta can be contacted via phone (309) 837-0558.Contact Information
Primary practice address
323 W Washington St
Macomb IL 61455-2118
Phone: (309) 837-0558
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / School | 103TS0200X | 1405462 | Illinois |
Profile Details
NPI number | 1780109322 |
---|---|
LBN Legal business name | Keck, Roberta |
Credentials | MS,SSP |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Aug 4th, 2017 |
Last updated | Jul 21st, 2022 - about 3 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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