Keller, Patrice Rolland
Keller, Patrice Rolland is an individual health care provider with primary practice located at 733 Dante Street Sara Mayo Healthcare Center, New Orleans LA 70118. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Keller, Patrice Rolland can be contacted via phone (504) 866-8819.Contact Information
Primary practice address
733 Dante Street Sara Mayo Healthcare Center
New Orleans LA 70118
Phone: (504) 866-8819
Fax: (504) 866-8836
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 1398 | Louisiana |
Profile Details
| NPI number | 1255385100 |
|---|---|
| LBN Legal business name | Keller, Patrice Rolland |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 22nd, 2006 |
| 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 | 1255385100 | NPPES |
| Louisiana | MEDICAID | 1142433 | |
| Louisiana | Other | P00176226 |
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