Carlson, Casey Lynn
Carlson, Casey Lynn is an individual health care provider with primary practice located at 1551 E Mullan Ave Bldg A Ste 200D , Post Falls ID 83854-4868. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Carlson, Casey Lynn can be contacted via phone (208) 618-6070.Contact Information
Primary practice address
1551 E Mullan Ave Bldg A Ste 200D
Post Falls ID 83854-4868
Phone: (208) 618-6070
Fax: (208) 618-8903
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA150161 | Oregon |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA60371391 | Washington |
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | PA-2000 | Idaho |
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA-2000 | Idaho |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | PA-2000 | Idaho |
Profile Details
| NPI number | 1538331921 |
|---|---|
| LBN Legal business name | Carlson, Casey Lynn |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 26th, 2008 |
| Last updated | May 3rd, 2021 - about 4 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 | 1538331921 | NPPES |
| Idaho | MEDICAID | 1538331921 |
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