Jackman, Keith
Jackman, Keith is an individual health care provider with primary practice located at 880 Vantage St Se , Palm Bay FL 32909-4947. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Jackman, Keith can be contacted via phone (321) 292-0243.Contact Information
Primary practice address
880 Vantage St Se
Palm Bay FL 32909-4947
Phone: (321) 292-0243
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1841737152 |
|---|---|
| LBN Legal business name | Jackman, Keith |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 24th, 2017 |
| Last updated | Jan 24th, 2017 - about 9 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 | 1841737152 | NPPES |
| Florida | MEDICAID | 656410 |
Popular Providers
-
Mulford, Deborah Jozie
1320 Culver Dr Ne Ste 3 , Palm Bay FL 32907-1104 -
James, Michael Leonard
1512 Harvard Cir Apt 5 , Palm Bay FL 32905-2248 -
Forbes, Audra Lloy
251 District St Se , Palm Bay FL 32909-4786 -
Herndon, Mallory Kathleen
458 Barcelona Rd , Palm Bay FL 32909 -
Michaud, Austin Tyler
1320 Culver Dr Ne , Palm Bay FL 32907-1104 -
Meek, Kailyn Danyelle
567 Brickell St Se , Palm Bay FL 32909-4472 -
Savannah, Kiara R
2180 Julian Ave Ne , Palm Bay FL 32905-4020 -
Milfort, Lanyesha
1320 Culver Dr Ne Ste 3 , Palm Bay FL 32907-1104