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Contact Information

KEITH A VANIC, PHD, ATC, LAT
5992 KESSLERSVILLE ROAD
NAZARETH, PA18064
 Phone: 484-357-3396
 Fax: 570-422-3616
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Athletic Trainer

2255A2300X
Indicates primary specialty

NPI Profile & details for KEITH A VANIC · (Male)

NPI # 1649798067
Status Active
Credentials PHD, ATC, LAT
Entity Individual
Enumeration date 09/06/2017
Last updated 07/21/2022 - About 4 years ago
Sole proprietor 1 No
Identifiers
  • PA License # RT001357A
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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