Watkins, Keith
Watkins, Keith is an individual health care provider with primary practice located at 1727 N Ocean Ave , Medford NY 11763-2649. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Watkins, Keith can be contacted via phone (631) 654-1919.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 079475-1 | New York |
Profile Details
| NPI number | 1720305220 |
|---|---|
| LBN Legal business name | Watkins, Keith |
| Credentials | LMSW |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 23rd, 2010 |
| Last updated | Apr 23rd, 2010 - about 15 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 | 1720305220 | NPPES |
| New York | Other | 079475-1 | LICENSE # |
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