Keenan, John A
Keenan, John A is an sole proprietor health care provider with primary practice located at 23250 Chagrin Blvd Ste 425 , Beachwood OH 44122-5445. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Keenan, John A can be contacted via phone (216) 464-4243.Contact Information
Primary practice address
23250 Chagrin Blvd Ste 425
Beachwood OH 44122-5445
Phone: (216) 464-4243
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | PSY 853 | Hawaii |
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | P.08056 | Ohio |
Profile Details
| NPI number | 1497703748 |
|---|---|
| LBN Legal business name | Keenan, John A |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 5th, 2006 |
| Last updated | Oct 24th, 2023 - about last year |
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 | 1497703748 | NPPES |
| Hawaii | Other | 00A0248896 | HMSA |
| Hawaii | Other | 72440163 | HMSA |
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