Keck, Jacqueline D

Keck, Jacqueline D is an individual health care provider with primary practice located at 841 N Galena Ave Suite 200, Dixon IL 61021-1568. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Family. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Keck, Jacqueline D can be contacted via phone (815) 285-2273.

Contact Information

Primary practice address
841 N Galena Ave Suite 200 Dixon IL 61021-1568
Phone: (815) 285-2273
Fax: (815) 285-2276
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 209013552 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209-013552 Illinois

Profile Details

NPI number 1326411539
LBN Legal business name Keck, Jacqueline D
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 10th, 2015
Last updated Mar 17th, 2018 - 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.

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