Keightley, Deborah A

Keightley, Deborah A is an individual health care provider with primary practice located at 445 S Main St , West Hartford CT 06110-1646. She recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as her primary health care specialty. Keightley, Deborah A can be contacted via phone (860) 561-7111.

Contact Information

Primary practice address
445 S Main St West Hartford CT 06110-1646
Fax: (860) 561-7272
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 035614 Connecticut

Profile Details

NPI number 1902882442
LBN Legal business name Keightley, Deborah A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 16th, 2005
Last updated May 14th, 2010 - about 15 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 1902882442 NPPES
Connecticut MEDICAID 001356147
Connecticut Other 1902882442

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