Keller, Nicole Leanna

Keller, Nicole Leanna is an individual health care provider with primary practice located at 212 E Main St , Greenville OH 45331-1913. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Keller, Nicole Leanna can be contacted via phone (937) 548-1635.

Contact Information

Primary practice address
212 E Main St Greenville OH 45331-1913
Phone: (937) 548-1635
Fax: (937) 548-1500
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X Ohio

Profile Details

NPI number 1730406661
LBN Legal business name Keller, Nicole Leanna
Credentials MS, PCC
Entity Individual
Sole proprietor 1 No
Enumeration date May 3rd, 2010
Last updated May 3rd, 2010 - about 15 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 1730406661 NPPES
Ohio MEDICAID 0959440

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