Keenan, Michael Jay

Keenan, Michael Jay is an individual health care provider with primary practice located at 3388 Woods Edge Cir Suite 102, Bonita Springs FL 34134-1368. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Keenan, Michael Jay can be contacted via phone (239) 949-0220.

Contact Information

Primary practice address
3388 Woods Edge Cir Suite 102 Bonita Springs FL 34134-1368
Phone: (239) 949-0220
Fax: (239) 949-0244
Website:
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Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X CH8224 Florida

Profile Details

NPI number 1669446795
LBN Legal business name Keenan, Michael Jay
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Aug 29th, 2011 - about 15 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 1669446795 NPPES
Florida MEDICAID 381583800

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