Casey, Summer L

Casey, Summer L is an sole proprietor health care provider with primary practice located at 3008 Urban Ave , Dallas TX 75227-5760. She recently has only one registered license in Nursing Service Related Providers / Attendant Care Provider, which is considered as her primary health care specialty. Casey, Summer L can be contacted via phone (214) 882-4767.

Contact Information

Primary practice address
3008 Urban Ave Dallas TX 75227-5760
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Related Providers / Attendant Care Provider 3747A0650X

Profile Details

NPI number 1508415019
LBN Legal business name Casey, Summer L
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 6th, 2019
Last updated Sep 6th, 2019 - about 5 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 1508415019 NPPES
Texas MEDICAID 1

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