Casey, Virginia Fishburne

Casey, Virginia Fishburne is an individual health care provider with primary practice located at 1915 Randolph Rd , Charlotte NC 28207-1101. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Orthopaedic Surgery. Allopathic & Osteopathic Physicians / Orthopaedic Surgery is her primary health care specialty. Casey, Virginia Fishburne can be contacted via phone (704) 323-2000.

Contact Information

Primary practice address
1915 Randolph Rd Charlotte NC 28207-1101
Phone: (704) 323-2000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Orthopaedic Surgery 207XP3100X 2005-00906 North Carolina
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 2005-00906 North Carolina

Profile Details

NPI number 1386627610
LBN Legal business name Casey, Virginia Fishburne
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 21st, 2005
Last updated Aug 31st, 2022 - about 3 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 1386627610 NPPES
South Carolina MEDICAID N06005
South Carolina Other 0397730007
South Carolina MEDICAID 1386627610

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