Keller, Jarrod Ralph
Keller, Jarrod Ralph is an sole proprietor health care provider with primary practice located at 1066 Boiling Springs Rd , Spartanburg SC 29303-2247. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Keller, Jarrod Ralph can be contacted via phone (864) 582-0286.Contact Information
Primary practice address
1066 Boiling Springs Rd
Spartanburg SC 29303-2247
Phone: (864) 582-0286
Fax: (864) 582-0279
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | SC1359 | South Carolina |
Profile Details
| NPI number | 1306889548 |
|---|---|
| LBN Legal business name | Keller, Jarrod Ralph |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 14th, 2006 |
| Last updated | Sep 25th, 2012 - about 12 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 | 1306889548 | NPPES |
| South Carolina | MEDICAID | D13590 |
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