Carr, Casey Terry

Carr, Casey Terry is an individual health care provider with primary practice located at 655 W 8Th St , Jacksonville FL 32209-6511. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Critical Care Medicine is his primary health care specialty. Carr, Casey Terry can be contacted via phone (904) 244-6340.

Contact Information

Primary practice address
655 W 8Th St Jacksonville FL 32209-6511
Phone: (904) 244-6340
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207LC0200X ME139535 Florida
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X ME139535 Florida

Profile Details

NPI number 1417342007
LBN Legal business name Carr, Casey Terry
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 1st, 2015
Last updated Dec 4th, 2023 - about 3 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 1417342007 NPPES
Florida MEDICAID 106176500

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