Keller, Johanna L

Keller, Johanna L is an individual health care provider with primary practice located at 1200 N West Ave Ste 400 , Jackson MI 49202-2180. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Keller, Johanna L can be contacted via phone (517) 780-3336.

Contact Information

Primary practice address
1200 N West Ave Ste 400 Jackson MI 49202-2180
Fax: (517) 796-4561
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 1041S0200X

Profile Details

NPI number 1619517687
LBN Legal business name Keller, Johanna L
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 8th, 2020
Last updated Jan 8th, 2020 - about 4 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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