Oglesby, Keith Derell

Oglesby, Keith Derell is an sole proprietor health care provider with primary practice located at 355 Woodruff Rd Suite 104, Greenville SC 29607-3429. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Oglesby, Keith Derell can be contacted via phone (864) 286-1500.

Contact Information

Primary practice address
355 Woodruff Rd Suite 104 Greenville SC 29607-3429
Phone: (864) 286-1500
Fax: (864) 234-8255
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1730465675
LBN Legal business name Oglesby, Keith Derell
Credentials BS,CAC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2011
Last updated Oct 24th, 2011 - about 13 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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