Keranen, Genevieve A
Keranen, Genevieve A is an individual health care provider with primary practice located at 705 Pleasant Ave S , Park Rapids MN 56470-1440. She recently has only one registered license in Dietary & Nutritional Service Providers / Nutrition, Education, which is considered as her primary health care specialty. Keranen, Genevieve A can be contacted via phone (218) 732-2800.Contact Information
Primary practice address
705 Pleasant Ave S
Park Rapids MN 56470-1440
Phone: (218) 732-2800
Fax: (218) 732-2857
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dietary & Nutritional Service Providers / Nutrition, Education | 133NN1002X | R-054394-9 | Minnesota |
Profile Details
| NPI number | 1033156997 |
|---|---|
| LBN Legal business name | Keranen, Genevieve A |
| Credentials | CDE |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 1st, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1033156997 | NPPES |
| Minnesota | Other | 24679 | NDBS # |
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