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
Phone: (504) 883-3703
Fax: (504) 883-3704
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1124022892 | NPPES |
Louisiana | MEDICAID | 1982172 |
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