Keith, Brian A.

Keith, Brian A. is an individual health care provider with primary practice located at 1216 Ella St , Anderson SC 29621-4839. He recently has only one registered license in Behavioral Health & Social Service Providers / Counseling, which is considered as his primary health care specialty. Keith, Brian A. can be contacted via phone (864) 261-9221.

Contact Information

Primary practice address
1216 Ella St Anderson SC 29621-4839
Phone: (864) 261-9221
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 602 South Carolina

Profile Details

NPI number 1942366042
LBN Legal business name Keith, Brian A.
Credentials DOCTORATE IN PSYCHOL
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 31st, 2006
Last updated Jul 9th, 2007 - about 17 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 1942366042 NPPES
South Carolina MEDICAID PSO199

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