Keller, Marilyn J.

Keller, Marilyn J. is an individual health care provider with primary practice located at 406 4Th St Nw , Mandan ND 58554-2912. She recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as her primary health care specialty. Keller, Marilyn J. can be contacted via phone (701) 663-7491.

Contact Information

Primary practice address
406 4Th St Nw Mandan ND 58554-2912
Phone: (701) 663-7491
Fax: (701) 667-0984
Website:
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Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 121 North Dakota

Profile Details

NPI number 1568516185
LBN Legal business name Keller, Marilyn J.
Credentials SLP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 22nd, 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 1568516185 NPPES
North Dakota MEDICAID 58552

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