Casterline, Vernon Dale
Casterline, Vernon Dale is an individual health care provider with primary practice located at 2923 W Layton Ave , Greenfield WI 53221-2626. He recently has 6 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery, Allopathic & Osteopathic Physicians / Dermatopathology, Allopathic & Osteopathic Physicians / Pediatric Dermatology. Allopathic & Osteopathic Physicians / Dermatology is his primary health care specialty. Casterline, Vernon Dale can be contacted via phone (414) 281-0712.Contact Information
Primary practice address
2923 W Layton Ave
Greenfield WI 53221-2626
Phone: (414) 281-0712
Fax: (414) 281-3466
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 25757-020 | Wisconsin |
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology | 207NI0002X | 25757-020 | Wisconsin |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 25757-020 | Wisconsin |
| Allopathic & Osteopathic Physicians / MOHS-Micrographic Surgery | 207ND0101X | 25757-020 | Wisconsin |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 25757-020 | Wisconsin |
| Allopathic & Osteopathic Physicians / Pediatric Dermatology | 207NP0225X | 25757-020 | Wisconsin |
Profile Details
| NPI number | 1104887223 |
|---|---|
| LBN Legal business name | Casterline, Vernon Dale |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 29th, 2006 |
| Last updated | Apr 18th, 2011 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104887223 | NPPES |
| Wisconsin | MEDICAID | 30842200 |
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