Cresbaugh, Casey
Cresbaugh, Casey is an individual health care provider with primary practice located at 7600 River Rd , North Bergen NJ 07047-6217. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Cresbaugh, Casey can be contacted via phone (201) 854-5000.Contact Information
Primary practice address
7600 River Rd
North Bergen NJ 07047-6217
Phone: (201) 854-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 25MP00549200 | New Jersey |
Profile Details
| NPI number | 1528601796 |
|---|---|
| LBN Legal business name | Cresbaugh, Casey |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 21st, 2019 |
| Last updated | Dec 28th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1528601796 | NPPES |
| New Jersey | MEDICAID | 25MP00549200 |
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