O'Keefe, Amanda J

O'Keefe, Amanda J is an sole proprietor health care provider with primary practice located at 2351 N 62Nd St , Wauwatosa WI 53213-1509. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. O'Keefe, Amanda J can be contacted via phone (414) 258-0612.

Contact Information

Primary practice address
2351 N 62Nd St Wauwatosa WI 53213-1509
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 2665-154 Wisconsin

Profile Details

NPI number 1487827937
LBN Legal business name O'Keefe, Amanda J
Credentials MS, CCC-SLP
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 4th, 2008
Last updated Apr 4th, 2008 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487827937 NPPES
Wisconsin MEDICAID 42568700

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