Keaton, Christopher Charles

Keaton, Christopher Charles is an sole proprietor health care provider with primary practice located at 20050 Crestwood Blvd , Covington LA 70433-5207. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Adult Health, which is considered as his primary health care specialty. Keaton, Christopher Charles can be contacted via phone (985) 892-7070.

Contact Information

Primary practice address
20050 Crestwood Blvd Covington LA 70433-5207
Fax: (985) 892-7017
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Adult Health 363LA2200X AP06800 Louisiana

Profile Details

NPI number 1811267040
LBN Legal business name Keaton, Christopher Charles
Credentials Adult Nurse Practitioner (ANP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2012
Last updated Jul 21st, 2022 - about 4 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 1811267040 NPPES
Louisiana MEDICAID 2182382

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