Mccollum, Casey

Mccollum, Casey is an individual health care provider with primary practice located at 1902 Royalty Dr Suite 130, Pomona CA 91767-3030. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Mccollum, Casey can be contacted via phone (909) 865-5777.

Contact Information

Primary practice address
1902 Royalty Dr Suite 130 Pomona CA 91767-3030
Fax: (909) 865-5781
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA22463 California

Profile Details

NPI number 1083963664
LBN Legal business name Mccollum, Casey
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 29th, 2012
Last updated Jan 13th, 2014 - about 12 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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