Vedder, Casey A

Vedder, Casey A is an sole proprietor health care provider with primary practice located at 847 Westlake Drive , Mount Airy NC 27030-2703. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Vedder, Casey A can be contacted via phone (336) 783-9400.

Contact Information

Primary practice address
847 Westlake Drive Mount Airy NC 27030-2703
Phone: (336) 783-9400
Fax: (336) 783-9406
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 8944 North Carolina

Profile Details

NPI number 1053384438
LBN Legal business name Vedder, Casey A
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 8th, 2006
Last updated Feb 7th, 2021 - about 5 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 1053384438 NPPES
Other 196659 BCBSNC
MEDICAID 7212439 BCBSNC

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