Keith, Mary M
Keith, Mary M is an individual health care provider with primary practice located at 1324 Belmont St Suite 204, Brockton MA 02301-4435. She recently has only one registered license in Speech, Language and Hearing Service Providers / Audiologist, which is considered as her primary health care specialty. Keith, Mary M can be contacted via phone (508) 559-9200.Contact Information
Primary practice address
1324 Belmont St Suite 204
Brockton MA 02301-4435
Phone: (508) 559-9200
Fax: (508) 559-0027
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Audiologist | 231H00000X | 140 | Massachusetts |
Profile Details
| NPI number | 1306977277 |
|---|---|
| LBN Legal business name | Keith, Mary M |
| Credentials | AU. D. |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2007 |
| Last updated | Apr 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1306977277 | NPPES |
| Massachusetts | Other | AD0001 | BCBS PROVIDER NUMBER |
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