Kasko, Andre Martin

Kasko, Andre Martin is an individual health care provider with primary practice located at 57445 29 Palms Hwy Suite 301, Yucca Valley CA 92284-2947. He recently has only one registered license in Allopathic & Osteopathic Physicians / Critical Care Medicine, which is considered as his primary health care specialty. Kasko, Andre Martin can be contacted via phone (760) 365-2800.

Contact Information

Primary practice address
57445 29 Palms Hwy Suite 301 Yucca Valley CA 92284-2947
Phone: (760) 365-2800
Fax: (760) 365-1406
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207VC0200X 20A6300 California

Profile Details

NPI number 1679624191
LBN Legal business name Kasko, Andre Martin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Apr 28th, 2016 - about 10 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 1679624191 NPPES
California MEDICAID 00AX63000

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