Keller, Amanda

Keller, Amanda is an individual health care provider with primary practice located at 64 Main St , Keene NH 03431-3701. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Keller, Amanda can be contacted via phone (603) 354-4400.

Contact Information

Primary practice address
64 Main St Keene NH 03431-3701
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1548466659
LBN Legal business name Keller, Amanda
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 25th, 2007
Last updated Nov 14th, 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 1548466659 NPPES
New Hampshire MEDICAID 81263595

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