Riley, Keith

Riley, Keith is an individual health care provider with primary practice located at 30 Danforth St Ste 311 , Portland ME 04101-4574. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Riley, Keith can be contacted via phone (207) 774-6877.

Contact Information

Primary practice address
30 Danforth St Ste 311 Portland ME 04101-4574
Phone: (207) 774-6877
Fax: (207) 879-0761
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC14061 Maine

Profile Details

NPI number 1346625019
LBN Legal business name Riley, Keith
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 23rd, 2015
Last updated Jul 23rd, 2015 - about 11 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 1346625019 NPPES
Maine MEDICAID 1992935662

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