Keller, Lyle E.

Keller, Lyle E. is an individual health care provider with primary practice located at 3333 Chanate Rd , Santa Rosa CA 95404-1707. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Keller, Lyle E. can be contacted via phone (707) 565-4855.

Contact Information

Primary practice address
3333 Chanate Rd Santa Rosa CA 95404-1707
Phone: (707) 565-4855
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X 21795 California

Profile Details

NPI number 1497817597
LBN Legal business name Keller, Lyle E.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 14th, 2006
Last updated Jul 15th, 2014 - about 10 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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