Keith, Juenarrl
Keith, Juenarrl is an sole proprietor health care provider with primary practice located at 566 Rowe St , Orangeburg SC 29115-6720. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Keith, Juenarrl can be contacted via phone (888) 992-5534.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 1961 | South Carolina |
Profile Details
| NPI number | 1194898262 |
|---|---|
| LBN Legal business name | Keith, Juenarrl |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 16th, 2006 |
| Last updated | Jun 21st, 2011 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194898262 | NPPES |
| South Carolina | MEDICAID | 1961 |
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