Keenan, Peter J.

Keenan, Peter J. is an individual health care provider with primary practice located at 1149 Sullivan St , Elmira NY 14901. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor, which is considered as his primary health care specialty.

Contact Information

Primary practice address
1149 Sullivan St Elmira NY 14901
Phone:
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Rehabilitation Counselor 225C00000X

Profile Details

NPI number 1538668512
LBN Legal business name Keenan, Peter J.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2018
Last updated Feb 6th, 2018 - about 6 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 1538668512 NPPES
New York MEDICAID 225C00000X

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