Casey, Michael Shaun

Casey, Michael Shaun is an individual health care provider with primary practice located at 790 Fuller Ave Ne , Grand Rapids MI 49503-1918. He recently has only one registered license in Other Service Providers / Peer Specialist, which is considered as his primary health care specialty. Casey, Michael Shaun can be contacted via phone (616) 236-3909.

Contact Information

Primary practice address
790 Fuller Ave Ne Grand Rapids MI 49503-1918
Phone: (616) 236-3909
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1801589023
LBN Legal business name Casey, Michael Shaun
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 1st, 2023
Last updated Jun 1st, 2023 - about 2 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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