Keys, Greta Louise
Keys, Greta Louise is an sole proprietor health care provider with primary practice located at 332 E Monticello St , Brookhaven MS 39601-3430. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Ambulatory Health Care Facilities / Primary Care. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Keys, Greta Louise can be contacted via phone (601) 833-3500.Contact Information
Primary practice address
332 E Monticello St
Brookhaven MS 39601-3430
Phone: (601) 833-3500
Fax: (601) 292-6384
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Family | 363LF0000X | R843927 | Mississippi |
| Ambulatory Health Care Facilities / Primary Care | 261QP2300X |
Profile Details
| NPI number | 1497762256 |
|---|---|
| LBN Legal business name | Keys, Greta Louise |
| Credentials | FNP-BC |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | Mar 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1497762256 | NPPES |
| Mississippi | MEDICAID | 04187246 | |
| Mississippi | Other | 2014619 | |
| Mississippi | Other | P00823061 |
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