Casey, Michael Jin

Casey, Michael Jin is an individual health care provider with primary practice located at 171 Ashley Ave , Charleston SC 29425. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Casey, Michael Jin can be contacted via phone (843) 792-1414.

Contact Information

Primary practice address
171 Ashley Ave Charleston SC 29425
Phone: (843) 792-1414
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X ME102226 Florida
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 81548 South Carolina
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X A81604 California

Profile Details

NPI number 1194991026
LBN Legal business name Casey, Michael Jin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 30th, 2008
Last updated Aug 29th, 2018 - about 6 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 1194991026 NPPES
Florida MEDICAID 000321300

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