Ketelsen, Cheryl

Ketelsen, Cheryl is an sole proprietor health care provider with primary practice located at 15 Santa Rosa St , San Luis Obispo CA 93405-1811. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Ketelsen, Cheryl can be contacted via phone (805) 541-2650.

Contact Information

Primary practice address
15 Santa Rosa St San Luis Obispo CA 93405-1811
Phone: (805) 541-2650
Fax: (805) 541-4043
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 53363 California

Profile Details

NPI number 1770938532
LBN Legal business name Ketelsen, Cheryl
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 29th, 2016
Last updated Apr 20th, 2017 - about 9 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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