Cassella, Tina M
Cassella, Tina M is an individual health care provider with primary practice located at 1001 6Th Ave Suite 300, Leavenworth KS 66048-3222. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Cassella, Tina M can be contacted via phone (913) 682-5588.Contact Information
Primary practice address
1001 6Th Ave Suite 300
Leavenworth KS 66048-3222
Phone: (913) 682-5588
Fax: (913) 682-2698
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 44644 | Kansas |
Profile Details
| NPI number | 1588779706 |
|---|---|
| LBN Legal business name | Cassella, Tina M |
| Credentials | ARNP |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 20th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1588779706 | NPPES |
| Kansas | MEDICAID | 100318140B |
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