Casady, Roger

Casady, Roger is an individual health care provider with primary practice located at 211 Carter St , Berryville AR 72616-4303. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Casady, Roger can be contacted via phone (870) 423-3338.

Contact Information

Primary practice address
211 Carter St Berryville AR 72616-4303
Phone: (870) 423-3338
Fax: (870) 423-7330
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X E-3204 Arkansas

Profile Details

NPI number 1902862634
LBN Legal business name Casady, Roger
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Oct 2nd, 2014 - about 11 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 1902862634 NPPES
Missouri MEDICAID 1902862634
Missouri Other 5M086C895
Missouri MEDICAID 145897001
Missouri Other P00653981

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