Keating, Jason

Keating, Jason is an individual health care provider with primary practice located at 1082 Whitetail Dr , Fairborn OH 45324-8718. 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 / Clinical. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Keating, Jason can be contacted via phone (614) 787-3247.

Contact Information

Primary practice address
1082 Whitetail Dr Fairborn OH 45324-8718
Phone: (614) 787-3247
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 121035 Ohio
Behavioral Health & Social Service Providers / Clinical 1041C0700X 121035 Ohio

Profile Details

NPI number 1093185100
LBN Legal business name Keating, Jason
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2015
Last updated Oct 1st, 2015 - about 11 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 1093185100 NPPES
Indiana MEDICAID 351928552

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