Fischer-Casey, Jacalyn Dale
Fischer-Casey, Jacalyn Dale is an individual health care provider with primary practice located at 631 N Longwood St Ste 203, Rockford IL 61107-4266. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Fischer-Casey, Jacalyn Dale can be contacted via phone (815) 962-6100.Contact Information
Primary practice address
631 N Longwood St Ste 203
Rockford IL 61107-4266
Phone: (815) 962-6100
Fax: (815) 962-6107
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 3810 | Illinois |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | Illinois |
Profile Details
NPI number | 1659354330 |
---|---|
LBN Legal business name | Fischer-Casey, Jacalyn Dale |
Credentials | L.C.P.C. |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 27th, 2005 |
Last updated | Jul 8th, 2007 - about 17 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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