Keller, Marilyn J.
Keller, Marilyn J. is an individual health care provider with primary practice located at 406 4Th St Nw , Mandan ND 58554-2912. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Keller, Marilyn J. can be contacted via phone (701) 663-7491.Contact Information
Primary practice address
406 4Th St Nw
Mandan ND 58554-2912
Phone: (701) 663-7491
Fax: (701) 667-0984
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Speech, Language and Hearing Service Providers / Speech-Language Pathologist | 235Z00000X | 121 | North Dakota |
Profile Details
| NPI number | 1568516185 |
|---|---|
| LBN Legal business name | Keller, Marilyn J. |
| Credentials | SLP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 22nd, 2007 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1568516185 | NPPES |
| North Dakota | MEDICAID | 58552 |
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