Ketcham, Anna

Ketcham, Anna is an individual health care provider with primary practice located at 3572 Dayton Xenia Rd Suite 105, Beavercreek OH 45432-2886. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Ketcham, Anna can be contacted via phone (937) 427-4600.

Contact Information

Primary practice address
3572 Dayton Xenia Rd Suite 105 Beavercreek OH 45432-2886
Phone: (937) 427-4600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X COA.17080-NP Ohio

Profile Details

NPI number 1669859229
LBN Legal business name Ketcham, Anna
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2015
Last updated Jun 8th, 2017 - about 7 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 1669859229 NPPES
Ohio Other 000000966352 ANTHEM BC/BS

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