Keaton, Charsuede

Keaton, Charsuede is an sole proprietor health care provider with primary practice located at 134 Lynnwood Dr , Bainbridge GA 39819-6446. He recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as his primary health care specialty. Keaton, Charsuede can be contacted via phone (229) 400-3735.

Contact Information

Primary practice address
134 Lynnwood Dr Bainbridge GA 39819-6446
Fax: (229) 400-3735
Website:

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X

Profile Details

NPI number 1144733585
LBN Legal business name Keaton, Charsuede
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 7th, 2017
Last updated Nov 7th, 2017 - about 8 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.

Request for update

Popular Providers