Bedard, Casey L
Bedard, Casey L is an individual health care provider with primary practice located at 1725 Lochamy Ln , Saint Johns FL 32259-5478. 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. Bedard, Casey L can be contacted via phone (904) 860-9531.Contact Information
Primary practice address
1725 Lochamy Ln
Saint Johns FL 32259-5478
Phone: (904) 860-9531
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 013294 | New York |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA9105446 | Florida |
Profile Details
| NPI number | 1619105996 |
|---|---|
| LBN Legal business name | Bedard, Casey L |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2009 |
| Last updated | Sep 24th, 2013 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1619105996 | NPPES |
| Florida | Other | PA9105446 | PA LICENSE |
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