Keenan, Gail Mary

Keenan, Gail Mary is an individual health care provider with primary practice located at 421 Merrimack St , Methuen MA 01844-5803. She recently has only one registered license in Nursing Service Providers / General Practice, which is considered as her primary health care specialty. Keenan, Gail Mary can be contacted via phone (978) 725-4822.

Contact Information

Primary practice address
421 Merrimack St Methuen MA 01844-5803
Fax: (978) 725-5277
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / General Practice 163WG0000X 106420 Massachusetts

Profile Details

NPI number 1235113127
LBN Legal business name Keenan, Gail Mary
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 4th, 2005
Last updated Jul 13th, 2010 - about 14 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 1235113127 NPPES
Massachusetts Other NP3955 BCBSMA

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