Keller, Mara
Keller, Mara is an individual health care provider with primary practice located at 3075 Ala Poha Pl Apt 904 , Honolulu HI 96818-1685. She recently has only one registered license in Nursing Service Related Providers / Day Training/Habilitation Specialist, which is considered as her primary health care specialty. Keller, Mara can be contacted via phone (262) 483-6205.Contact Information
Primary practice address
3075 Ala Poha Pl Apt 904
Honolulu HI 96818-1685
Phone: (262) 483-6205
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Nursing Service Related Providers / Day Training/Habilitation Specialist | 373H00000X |
Profile Details
NPI number | 1952761546 |
---|---|
LBN Legal business name | Keller, Mara |
Credentials | |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Feb 25th, 2016 |
Last updated | Feb 25th, 2016 - about 8 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 | 1952761546 | NPPES |
Hawaii | MEDICAID | 0002265100 |
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