Casebolt, Shirley

Casebolt, Shirley is an individual health care provider with primary practice located at 1600 Breckenridge St , Owensboro KY 42303-1055. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, which is considered as her primary health care specialty. Casebolt, Shirley can be contacted via phone (270) 686-7747.

Contact Information

Primary practice address
1600 Breckenridge St Owensboro KY 42303-1055
Phone: (270) 686-7747
Fax: (270) 926-8677
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 3002001 Kentucky

Profile Details

NPI number 1285612630
LBN Legal business name Casebolt, Shirley
Credentials ARNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 5th, 2006
Last updated Mar 22nd, 2011 - about 15 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 1285612630 NPPES
Kentucky MEDICAID 78001732

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