Adcock, Caisie

Adcock, Caisie is an individual health care provider with primary practice located at 113 Pleasant Valley Rd , Given WV 25245-8067. She recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as her primary health care specialty. Adcock, Caisie can be contacted via phone (304) 531-5471.

Contact Information

Primary practice address
113 Pleasant Valley Rd Given WV 25245-8067
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 2081S0010X 4 West Virginia

Profile Details

NPI number 1366900532
LBN Legal business name Adcock, Caisie
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2019
Last updated Jun 11th, 2019 - 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 1366900532 NPPES
West Virginia MEDICAID 45764787987

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