Keller, Latasha

Keller, Latasha is an individual health care provider with primary practice located at 111 W 7 Mile Rd , Detroit MI 48203-1968. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife, which is considered as her primary health care specialty. Keller, Latasha can be contacted via phone (313) 369-2600.

Contact Information

Primary practice address
111 W 7 Mile Rd Detroit MI 48203-1968
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Advanced Practice Midwife 367A00000X 4704309517 Michigan

Profile Details

NPI number 1023886751
LBN Legal business name Keller, Latasha
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 12th, 2023
Last updated Dec 12th, 2023 - about 2 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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