Casserly, Brian P
Casserly, Brian P is an individual health care provider with primary practice located at 111 Brewster St Pulmonary Department, Pawtucket RI 02860-4400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Casserly, Brian P can be contacted via phone (401) 729-2636.Contact Information
Primary practice address
111 Brewster St Pulmonary Department
Pawtucket RI 02860-4400
Phone: (401) 729-2636
Fax: (401) 729-2157
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MD12646 | Rhode Island |
Profile Details
| NPI number | 1407073901 |
|---|---|
| LBN Legal business name | Casserly, Brian P |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2007 |
| Last updated | May 13th, 2010 - about 15 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 | 1407073901 | NPPES |
| Rhode Island | Other | 007060296 | MEDICARE PTAN |
| Rhode Island | MEDICAID | BC72040 | MEDICARE PTAN |
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