Keohane, Raymond G
Keohane, Raymond G is an sole proprietor health care provider with primary practice located at 9111 Broadstone Rd , North Chesterfield VA 23236-1316. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Keohane, Raymond G can be contacted via phone (804) 314-3977.Contact Information
Primary practice address
9111 Broadstone Rd
North Chesterfield VA 23236-1316
Phone: (804) 314-3977
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904000604 | Virginia |
Profile Details
| NPI number | 1033213715 |
|---|---|
| LBN Legal business name | Keohane, Raymond G |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 12th, 2006 |
| Last updated | Mar 22nd, 2021 - about 5 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1033213715 | NPPES |
| Virginia | MEDICAID | 8924571 |
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