Cassaday, Brandi Sue

Cassaday, Brandi Sue is an individual health care provider with primary practice located at 520 Valley View Dr , Moline IL 61265-6152. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Cassaday, Brandi Sue can be contacted via phone (309) 762-3621.

Contact Information

Primary practice address
520 Valley View Dr Moline IL 61265-6152
Phone: (309) 762-3621
Fax: (309) 762-3690
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X IL Illinois
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085003001 Illinois

Profile Details

NPI number 1730133356
LBN Legal business name Cassaday, Brandi Sue
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Aug 8th, 2022 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1730133356 NPPES
Iowa Other 99958 WELLMARK
Iowa Other P00605023 WELLMARK

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