Tremblay, Keith N

Tremblay, Keith N is an individual health care provider with primary practice located at 327 N Broad St , Lancaster OH 43130. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is his primary health care specialty. Tremblay, Keith N can be contacted via phone (740) 687-4423.

Contact Information

Primary practice address
327 N Broad St Lancaster OH 43130
Phone: (740) 687-4423
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X E0003908 Ohio

Profile Details

NPI number 1225262405
LBN Legal business name Tremblay, Keith N
Credentials PCC
Entity Individual
Sole proprietor 1 No
Enumeration date May 4th, 2009
Last updated Aug 22nd, 2018 - about 8 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 1225262405 NPPES
Ohio MEDICAID 0215520

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