Johnson, Casey Louis

Johnson, Casey Louis is an individual health care provider with primary practice located at 744 Middle Creek Rd Ste 114 , Sevierville TN 37862-5036. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Johnson, Casey Louis can be contacted via phone (865) 446-9575.

Contact Information

Primary practice address
744 Middle Creek Rd Ste 114 Sevierville TN 37862-5036
Phone: (865) 446-9575
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 2638 Tennessee

Profile Details

NPI number 1174926372
LBN Legal business name Johnson, Casey Louis
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 1st, 2014
Last updated Mar 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1174926372 NPPES
Tennessee MEDICAID Q019055

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