Keller, Maggie Ruth

Keller, Maggie Ruth is an sole proprietor health care provider with primary practice located at 220 Shelbi Pl , Oxford MS 38655-7417. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Keller, Maggie Ruth can be contacted via phone (662) 234-6626.

Contact Information

Primary practice address
220 Shelbi Pl Oxford MS 38655-7417
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X P149861 Mississippi

Profile Details

NPI number 1760529283
LBN Legal business name Keller, Maggie Ruth
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 31st, 2007
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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Identifiers

StateTypeNumberIssuer
All States NPI 1760529283 NPPES
Mississippi MEDICAID 00770203

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