Keith, Colleen M

Keith, Colleen M is an individual health care provider with primary practice located at 560 W Mitchell St Suite 250, Petoskey MI 49770-2275. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter, which is considered as her primary health care specialty. Keith, Colleen M can be contacted via phone (231) 439-6844.

Contact Information

Primary practice address
560 W Mitchell St Suite 250 Petoskey MI 49770-2275
Phone: (231) 439-6844
Fax: (231) 487-0728
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Audiologist-Hearing Aid Fitter 237600000X 1601000006 Michigan

Profile Details

NPI number 1609897024
LBN Legal business name Keith, Colleen M
Credentials MACCCA
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 21st, 2006
Last updated Jul 9th, 2007 - about 18 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 1609897024 NPPES
Michigan MEDICAID 4337275
Michigan MEDICAID 4708524

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