Keenum, Amy Jane

Keenum, Amy Jane is an individual health care provider with primary practice located at 804 Service Rd A235, East Lansing MI 48824-7015. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Keenum, Amy Jane can be contacted via phone (517) 355-1300.

Contact Information

Primary practice address
804 Service Rd A235 East Lansing MI 48824-7015
Phone: (517) 355-1300
Fax: (517) 355-1710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101011498 Michigan

Profile Details

NPI number 1154388734
LBN Legal business name Keenum, Amy Jane
Credentials DO, PHARMD
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 27th, 2006
Last updated Sep 5th, 2018 - about 7 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 1154388734 NPPES
Michigan MEDICAID 1154388734
Michigan MEDICAID 3306480
Michigan Other 01-41688
Michigan Other 100032496
Michigan Other 9206416
Michigan Other TN01G4
Michigan Other 080164595
Michigan Other 3159480
Michigan Other 5954498

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