Keller, Judy Marie

Keller, Judy Marie is an sole proprietor health care provider with primary practice located at 328 Stanford Avenue , Elyria OH 44035. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Driver, Nursing Service Related Providers / Personal Care Attendant. Nursing Service Related Providers / Personal Care Attendant is her primary health care specialty. Keller, Judy Marie can be contacted via phone (440) 281-8051.

Contact Information

Primary practice address
328 Stanford Avenue Elyria OH 44035
Phone: (440) 281-8051
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X Ohio
Nursing Service Related Providers / Personal Care Attendant 3747P1801X Ohio

Profile Details

NPI number 1356932040
LBN Legal business name Keller, Judy Marie
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 27th, 2021
Last updated Jan 27th, 2021 - about 3 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 1356932040 NPPES
Ohio MEDICAID 0000232221

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