Cassell, Heather Ruth

Cassell, Heather Ruth is an individual health care provider with primary practice located at 2902 East Grant Road , Tucson AZ 85716-2742. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is her primary health care specialty. Cassell, Heather Ruth can be contacted via phone (520) 322-8361.

Contact Information

Primary practice address
2902 East Grant Road Tucson AZ 85716-2742
Phone: (520) 322-8361
Fax: (520) 322-8462
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 30265 Arizona
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 30265 Arizona

Profile Details

NPI number 1093700684
LBN Legal business name Cassell, Heather Ruth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2005
Last updated Oct 29th, 2013 - about 13 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 1093700684 NPPES
Arizona MEDICAID 431374

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