Keathley, Elizabeth Allen
Keathley, Elizabeth Allen is an sole proprietor health care provider with primary practice located at 64 Main St , Middlebury VT 05753-1426. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Keathley, Elizabeth Allen can be contacted via phone (802) 388-3090.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 819 | Vermont |
Profile Details
| NPI number | 1407973324 |
|---|---|
| LBN Legal business name | Keathley, Elizabeth Allen |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 24th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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 | 1407973324 | NPPES |
| Vermont | MEDICAID | 1010022 |
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