Keefe, Mary M

Keefe, Mary M is an individual health care provider with primary practice located at 474 N Yellow Springs St , Springfield OH 45504-2463. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Keefe, Mary M can be contacted via phone (937) 399-9500.

Contact Information

Primary practice address
474 N Yellow Springs St Springfield OH 45504-2463
Fax: (937) 342-4236
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 10004408 Ohio

Profile Details

NPI number 1952392029
LBN Legal business name Keefe, Mary M
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 28th, 2005
Last updated Sep 19th, 2013 - 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 1952392029 NPPES
Ohio Other 0004519060 AETNA
Ohio Other 000000004488 AETNA

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