Casey, Jerry

Casey, Jerry is an individual health care provider with primary practice located at 4740 S I 10 Service Rd W , Metairie LA 70001-1234. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Casey, Jerry can be contacted via phone (504) 883-3703.

Contact Information

Primary practice address
4740 S I 10 Service Rd W Metairie LA 70001-1234
Fax: (504) 883-3704
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 008790 Louisiana

Profile Details

NPI number 1124022892
LBN Legal business name Casey, Jerry
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 9th, 2005
Last updated Jul 8th, 2007 - about 17 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 1124022892 NPPES
Louisiana MEDICAID 1982172

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