Caccam, Casey
Caccam, Casey is an sole proprietor health care provider with primary practice located at 14850 Roscoe Blvd , Panorama City CA 91402-4618. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, Adult, which is considered as his primary health care specialty. Caccam, Casey can be contacted via phone (818) 904-3122.Contact Information
Primary practice address
14850 Roscoe Blvd
Panorama City CA 91402-4618
Phone: (818) 904-3122
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Nursing Service Providers / Psychiatric/Mental Health, Adult | 163WP0809X | 95163263 | California |
Profile Details
| NPI number | 1477197903 |
|---|---|
| LBN Legal business name | Caccam, Casey |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 28th, 2019 |
| Last updated | Oct 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1477197903 | NPPES |
| California | Other | 95136263 | RN |
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