Caster, Dawn Jaclyn
Caster, Dawn Jaclyn is an individual health care provider with primary practice located at 401 E Chestnut St Unit 690 , Louisville KY 40202-5706. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. Caster, Dawn Jaclyn can be contacted via phone (502) 813-6699.Contact Information
Primary practice address
401 E Chestnut St Unit 690
Louisville KY 40202-5706
Phone: (502) 813-6699
Fax: (502) 588-4771
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 42532 | Kentucky |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 42532 | Kentucky |
Profile Details
| NPI number | 1659402287 |
|---|---|
| LBN Legal business name | Caster, Dawn Jaclyn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 7th, 2007 |
| Last updated | Jan 31st, 2024 - about 2 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 | 1659402287 | NPPES |
| Kentucky | MEDICAID | 7100088450 | |
| Kentucky | Other | K087400 |
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