Keenan, Jacqueline M
Keenan, Jacqueline M is an individual health care provider with primary practice located at 9500 Euclid Ave , Cleveland OH 44195-0001. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant, which is considered as her primary health care specialty. Keenan, Jacqueline M can be contacted via phone (800) 223-2273.Contact Information
Primary practice address
9500 Euclid Ave
Cleveland OH 44195-0001
Phone: (800) 223-2273
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Anesthesiologist Assistant | 367H00000X | 67000055 | Ohio |
Profile Details
| NPI number | 1902864978 |
|---|---|
| LBN Legal business name | Keenan, Jacqueline M |
| Credentials | Associate of Arts (AA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 1st, 2006 |
| Last updated | Feb 11th, 2008 - about 16 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 | 1902864978 | NPPES |
| Ohio | MEDICAID | 2265169 |
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