Keeker, Matthew

Keeker, Matthew is an individual health care provider with primary practice located at 15001 35Th Ave W Apt 03-205, Lynnwood WA 98087-2343. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Keeker, Matthew can be contacted via phone (425) 319-6384.

Contact Information

Primary practice address
15001 35Th Ave W Apt 03-205 Lynnwood WA 98087-2343
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X

Profile Details

NPI number 1174991731
LBN Legal business name Keeker, Matthew
Credentials PEER COUNSELOR
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 11th, 2015
Last updated Oct 12th, 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 1174991731 NPPES
Washington MEDICAID 261QM0801X

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