Mcclone, Casey M
Mcclone, Casey M is an individual health care provider with primary practice located at 216 Southpark Cir E Ste 216 , St Augustine FL 32086-5135. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is his primary health care specialty. Mcclone, Casey M can be contacted via phone (904) 634-0640.Contact Information
Primary practice address
216 Southpark Cir E Ste 216
St Augustine FL 32086-5135
Phone: (904) 634-0640
Fax: (904) 634-0203
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 51995 | Minnesota |
Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | ME108685 | Florida |
Profile Details
NPI number | 1760688998 |
---|---|
LBN Legal business name | Mcclone, Casey M |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 25th, 2007 |
Last updated | Oct 9th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1760688998 | NPPES |
Minnesota | Other | P00771178 | MEDICARE RAILROAD |
Minnesota | MEDICAID | 002434000 | MEDICARE RAILROAD |
Minnesota | MEDICAID | ENROLLED | MEDICARE RAILROAD |
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