Ketner, David

Ketner, David is an sole proprietor health care provider with primary practice located at 15 Balaban Rd , Colchester CT 06415-1701. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Ketner, David can be contacted via phone (860) 537-6100.

Contact Information

Primary practice address
15 Balaban Rd Colchester CT 06415-1701
Phone: (860) 537-6100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 000172 Connecticut
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 000827 Connecticut

Profile Details

NPI number 1891196978
LBN Legal business name Ketner, David
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 9th, 2014
Last updated Sep 9th, 2014 - about 12 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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