Kasitz, Jesse Philip

Kasitz, Jesse Philip is an individual health care provider with primary practice located at 800 E Cheves St Ste 260 , Florence SC 29506-2652. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Primary Care, Physician Assistants & Advanced Practice Nursing Providers / Gerontology. Physician Assistants & Advanced Practice Nursing Providers / Gerontology is his primary health care specialty. Kasitz, Jesse Philip can be contacted via phone (843) 665-7941.

Contact Information

Primary practice address
800 E Cheves St Ste 260 Florence SC 29506-2652
Phone: (843) 665-7941
Fax: (843) 665-1257
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Primary Care 363LP2300X SP013051 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 20691 South Carolina

Profile Details

NPI number 1154754471
LBN Legal business name Kasitz, Jesse Philip
Credentials Advanced Practice Registered Nurse (APRN)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 11th, 2013
Last updated Feb 17th, 2020 - about 4 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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Identifiers

StateTypeNumberIssuer
All States NPI 1154754471 NPPES
South Carolina MEDICAID NP6221

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