Keeton, Homer Dale
Keeton, Homer Dale is an sole proprietor health care provider with primary practice located at 407 Church St Ne Ste I , Vienna VA 22180-4737. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Keeton, Homer Dale can be contacted via phone (703) 356-1330.Contact Information
Primary practice address
407 Church St Ne Ste I
Vienna VA 22180-4737
Phone: (703) 356-1330
Fax: (703) 938-1373
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | 0701000638 | Virginia |
Profile Details
| NPI number | 1386651222 |
|---|---|
| LBN Legal business name | Keeton, Homer Dale |
| Credentials | PH.D. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | Jul 8th, 2007 - about 19 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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