Favre, Casey Michael

Favre, Casey Michael is an individual health care provider with primary practice located at 4540 B Shepherds Squard , Diamondhead MS 39525. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Family is his primary health care specialty. Favre, Casey Michael can be contacted via phone (228) 255-8216.

Contact Information

Primary practice address
4540 B Shepherds Squard Diamondhead MS 39525
Phone: (228) 255-8216
Fax: (228) 255-8219
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X R875413 Mississippi
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X R875413 Mississippi

Profile Details

NPI number 1073806246
LBN Legal business name Favre, Casey Michael
Credentials NP-C
Entity Individual
Sole proprietor 1 No
Enumeration date May 22nd, 2011
Last updated Jan 17th, 2014 - about 11 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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