Keller, Brenda S
Keller, Brenda S is an individual health care provider with primary practice located at 582 N Cable Rd , Lima OH 45805-2133. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Keller, Brenda S can be contacted via phone (419) 996-2500.Contact Information
Primary practice address
582 N Cable Rd
Lima OH 45805-2133
Phone: (419) 996-2500
Fax: (419) 996-2509
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | NP06892 | Ohio |
Profile Details
| NPI number | 1417929662 |
|---|---|
| LBN Legal business name | Keller, Brenda S |
| Credentials | Certified Nurse Practitioner (CNP) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Jul 7th, 2015 - about 9 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 | 1417929662 | NPPES |
| Ohio | MEDICAID | 2324514 |
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