Casson, Pamela Wallace
Casson, Pamela Wallace is an individual health care provider with primary practice located at 1465 Kelly Johnson Blvd Suite 220, Colorado Springs CO 80920-3955. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Casson, Pamela Wallace can be contacted via phone (719) 265-1050.Contact Information
Primary practice address
1465 Kelly Johnson Blvd Suite 220
Colorado Springs CO 80920-3955
Phone: (719) 265-1050
Fax: (719) 265-2503
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 41888 | Colorado |
Profile Details
| NPI number | 1851388367 |
|---|---|
| LBN Legal business name | Casson, Pamela Wallace |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 29th, 2005 |
| Last updated | Feb 11th, 2010 - about 16 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 | 1851388367 | NPPES |
| Colorado | MEDICAID | 85487210 |
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