Jacobson, Casey

Jacobson, Casey is an sole proprietor health care provider with primary practice located at 301 E Main St , Bay Shore NY 11706-8408. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Jacobson, Casey can be contacted via phone (631) 968-3000.

Contact Information

Primary practice address
301 E Main St Bay Shore NY 11706-8408
Phone: (631) 968-3000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Critical Care Medicine 207RC0200X 029759 New York
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 029759 New York

Profile Details

NPI number 1144921743
LBN Legal business name Jacobson, Casey
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 13th, 2023
Last updated May 8th, 2023 - about last year

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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