Malicoat, Casey

Malicoat, Casey is an sole proprietor health care provider with primary practice located at 4226 Barton Dr , Batavia OH 45103-9700. She recently has 3 registered licenses in different health care specialties including Nursing Service Providers / Registered Nurse, Physician Assistants & Advanced Practice Nursing Providers / Family, Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner. Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner is her primary health care specialty. Malicoat, Casey can be contacted via phone (513) 446-3777.

Contact Information

Primary practice address
4226 Barton Dr Batavia OH 45103-9700
Phone: (513) 446-3777
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 400060 Ohio
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 3014454 Kentucky
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X APRN.CNP.024524 Ohio

Profile Details

NPI number 1881019214
LBN Legal business name Malicoat, Casey
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 21st, 2014
Last updated Mar 23rd, 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 1881019214 NPPES
Other QMP000004855095 MOLINA
MEDICAID 0360440 MOLINA
Other 000001329868 MOLINA
Other 14435766 MOLINA

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