Lineberry, Casey

Lineberry, Casey is an individual health care provider with primary practice located at 842 Sunset Lake Blvd Suite 403, Bldg. B, Venice FL 34292-7551. 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. Lineberry, Casey can be contacted via phone (941) 684-3216.

Contact Information

Primary practice address
842 Sunset Lake Blvd Suite 403, Bldg. B Venice FL 34292-7551
Phone: (941) 684-3216
Fax: (941) 485-7677
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA9108085 Florida

Profile Details

NPI number 1629487954
LBN Legal business name Lineberry, Casey
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 12th, 2014
Last updated May 23rd, 2023 - about 3 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 1629487954 NPPES
Florida Other 398592 AVMED
Florida Other P01374271 AVMED
Florida Other P1020766 AVMED
Florida Other 1225577 AVMED
Florida Other P959325 AVMED
Florida Other 1666744 AVMED
Florida Other Y0N2U AVMED
Florida Other 5924852 AVMED

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