Keith, Jonathan W

Keith, Jonathan W is an individual health care provider with primary practice located at 1111 Doyle St , Orangeburg SC 29115-4797. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Keith, Jonathan W can be contacted via phone (803) 395-8173.

Contact Information

Primary practice address
1111 Doyle St Orangeburg SC 29115-4797
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X South Carolina
Behavioral Health & Social Service Providers / Clinical 1041C0700X South Carolina

Profile Details

NPI number 1376135137
LBN Legal business name Keith, Jonathan W
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2021
Last updated Feb 3rd, 2021 - about 3 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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