Koonce, Cassidy J

Koonce, Cassidy J is an individual health care provider with primary practice located at 2451 Fillingim St , Mobile AL 36617-2238. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Koonce, Cassidy J can be contacted via phone (251) 471-7000.

Contact Information

Primary practice address
2451 Fillingim St Mobile AL 36617-2238
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD.31380 Alabama

Profile Details

NPI number 1376854976
LBN Legal business name Koonce, Cassidy J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2010
Last updated Jun 2nd, 2015 - about 11 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 1376854976 NPPES
Alabama Other 1659751915 GROUP NPI

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