Casey, Justin T
Casey, Justin T is an individual health care provider with primary practice located at 39 Barkley Cir , Fort Myers FL 33907-7531. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngology, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Otolaryngology is his primary health care specialty. Casey, Justin T can be contacted via phone (239) 936-1616.Contact Information
Primary practice address
39 Barkley Cir
Fort Myers FL 33907-7531
Phone: (239) 936-1616
Fax: (239) 936-0837
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Otolaryngology | 207Y00000X | ME126584 | Florida |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X |
Profile Details
| NPI number | 1730470899 |
|---|---|
| LBN Legal business name | Casey, Justin T |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 25th, 2011 |
| Last updated | May 10th, 2017 - about 7 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 | 1730470899 | NPPES |
| Florida | MEDICAID | 018272400 | |
| Florida | Other | KQKBH | |
| Florida | Other | 1344406 | |
| Florida | Other | P01716775 | |
| Florida | Other | P1043848 | |
| Florida | Other | 8349059 | |
| Florida | Other | P978488 | |
| Florida | Other | 1254617 |
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