Casey, Jessica Tooredman
Casey, Jessica Tooredman is an individual health care provider with primary practice located at 6670 S Tenaya Way Suite 180, Las Vegas NV 89113-1966. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Urology, Allopathic & Osteopathic Physicians / Pediatric Urology. Allopathic & Osteopathic Physicians / Pediatric Urology is her primary health care specialty. Casey, Jessica Tooredman can be contacted via phone (702) 369-4999.Contact Information
Primary practice address
6670 S Tenaya Way Suite 180
Las Vegas NV 89113-1966
Phone: (702) 369-4999
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 125054160 | Illinois |
| Allopathic & Osteopathic Physicians / Pediatric Urology | 2088P0231X | 01074156A | Indiana |
| Allopathic & Osteopathic Physicians / Urology | 208800000X | 01074156A | Indiana |
| Allopathic & Osteopathic Physicians / Pediatric Urology | 2088P0231X | 16320 | Nevada |
Profile Details
| NPI number | 1396901765 |
|---|---|
| LBN Legal business name | Casey, Jessica Tooredman |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2008 |
| Last updated | Aug 11th, 2016 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1396901765 | NPPES |
| Nevada | Other | V113933 | MEDICARE PTAN |
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