Keeley, Lisa

Keeley, Lisa is an sole proprietor health care provider with primary practice located at 8946 Madison Ave , Fair Oaks CA 95628-4010. She recently has only one registered license in Nursing Service Providers / Licensed Vocational Nurse, which is considered as her primary health care specialty. Keeley, Lisa can be contacted via phone (530) 305-3384.

Contact Information

Primary practice address
8946 Madison Ave Fair Oaks CA 95628-4010
Phone: (530) 305-3384
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Vocational Nurse 164X00000X 705611 California

Profile Details

NPI number 1013530005
LBN Legal business name Keeley, Lisa
Credentials Licensed Visiting Nurse (LVN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 25th, 2020
Last updated May 25th, 2020 - about 4 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 1013530005 NPPES
California MEDICAID LISAKEELEY
California Other LISAKEELEY

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