Casamento, Jeffrey Bernard

Casamento, Jeffrey Bernard is an individual health care provider with primary practice located at 245 Cherry St Se Suite 202, Grand Rapids MI 49503-4607. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Casamento, Jeffrey Bernard can be contacted via phone (616) 459-3551.

Contact Information

Primary practice address
245 Cherry St Se Suite 202 Grand Rapids MI 49503-4607
Phone: (616) 459-3551
Fax: (616) 459-1060
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X JC063636 Michigan

Profile Details

NPI number 1780607044
LBN Legal business name Casamento, Jeffrey Bernard
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 26th, 2006
Last updated Mar 21st, 2022 - about 2 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 1780607044 NPPES
Michigan MEDICAID 3046021

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