Casey, Michael
Casey, Michael is an individual health care provider with primary practice located at 1203 Avenue B , Ellisville MS 39437-2080. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Casey, Michael can be contacted via phone (601) 477-8553.Contact Information
Primary practice address
1203 Avenue B
Ellisville MS 39437-2080
Phone: (601) 477-8553
Fax: (601) 477-9158
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 06168 | Mississippi |
Profile Details
| NPI number | 1811936016 |
|---|---|
| LBN Legal business name | Casey, Michael |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 5th, 2006 |
| Last updated | Feb 11th, 2014 - about 12 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 | 1811936016 | NPPES |
| Mississippi | MEDICAID | 00116464 |
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