Dexter, Casey
Dexter, Casey is an individual health care provider with primary practice located at 3600 Cerrillos Rd Ste 303 , Santa Fe NM 87507-2694. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Dexter, Casey can be contacted via phone (505) 257-8554.Contact Information
Primary practice address
3600 Cerrillos Rd Ste 303
Santa Fe NM 87507-2694
Phone: (505) 257-8554
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | M-09313 | New Mexico |
Profile Details
| NPI number | 1497110480 |
|---|---|
| LBN Legal business name | Dexter, Casey |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 18th, 2015 |
| Last updated | Sep 26th, 2022 - about 4 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 | 1497110480 | NPPES |
| New Mexico | MEDICAID | 11386533 |
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