Keenan, Michael P
Keenan, Michael P is an sole proprietor health care provider with primary practice located at 93 Atlantic Ave , Manasquan NJ 08736. He recently has only one registered license in Other Service Providers / Health Educator, which is considered as his primary health care specialty. Keenan, Michael P can be contacted via phone (732) 292-1333.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Health Educator | 174H00000X | 174H00000X | New Jersey |
Profile Details
| NPI number | 1720513153 |
|---|---|
| LBN Legal business name | Keenan, Michael P |
| Credentials | OWNER, KMFITNESS |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 24th, 2017 |
| Last updated | Apr 24th, 2017 - about 8 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 | 1720513153 | NPPES |
| New Jersey | MEDICAID | MEDICAID |
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