Casselman, Jason Evan

Casselman, Jason Evan is an individual health care provider with primary practice located at 1434 Chester Blvd Reid Ent, Richmond IN 47374-1947. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Allergy & Immunology. Allopathic & Osteopathic Physicians / Allergy & Immunology is his primary health care specialty. Casselman, Jason Evan can be contacted via phone (765) 966-9600.

Contact Information

Primary practice address
1434 Chester Blvd Reid Ent Richmond IN 47374-1947
Phone: (765) 966-9600
Fax: (765) 962-9641
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 5101019322 Michigan
Allopathic & Osteopathic Physicians / Allergy & Immunology 207RA0201X 34.011409 Ohio
Allopathic & Osteopathic Physicians / Allergy & Immunology 207RA0201X 02004839A Indiana

Profile Details

NPI number 1538456462
LBN Legal business name Casselman, Jason Evan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 29th, 2011
Last updated May 12th, 2021 - 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 1538456462 NPPES
Other 000001014850 ANTHEM
MEDICAID 0172513 ANTHEM
MEDICAID 201359200 ANTHEM

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