Casey, Erin Michelle

Casey, Erin Michelle is an individual health care provider with primary practice located at 33-57 Harrison St , Johnson City NY 13790-2107. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Casey, Erin Michelle can be contacted via phone (607) 763-6101.

Contact Information

Primary practice address
33-57 Harrison St Johnson City NY 13790-2107
Fax: (607) 763-5180
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 337515 New York

Profile Details

NPI number 1548518475
LBN Legal business name Casey, Erin Michelle
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 27th, 2012
Last updated Jun 16th, 2020 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1548518475 NPPES
New York MEDICAID 03494057

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