Keenberg, Dylan A
Keenberg, Dylan A is an sole proprietor health care provider with primary practice located at 1106 Harris Ave Ste 302 , Bellingham WA 98225-7002. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Keenberg, Dylan A can be contacted via phone (360) 670-0195.Contact Information
Primary practice address
1106 Harris Ave Ste 302
Bellingham WA 98225-7002
Phone: (360) 670-0195
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | PY60751686 | Washington |
Profile Details
| NPI number | 1144652546 |
|---|---|
| LBN Legal business name | Keenberg, Dylan A |
| Credentials | PSYD |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 7th, 2013 |
| Last updated | May 22nd, 2020 - about 6 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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