Nisperos, Carmelita Casison
Nisperos, Carmelita Casison is an sole proprietor health care provider with primary practice located at 200 Cottage Ave Suite 202, Manteca CA 95336-4935. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Nisperos, Carmelita Casison can be contacted via phone (209) 239-1996.Contact Information
Primary practice address
200 Cottage Ave Suite 202
Manteca CA 95336-4935
Phone: (209) 239-1996
Fax: (209) 239-2876
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | A51093 | California |
Profile Details
| NPI number | 1760594089 |
|---|---|
| LBN Legal business name | Nisperos, Carmelita Casison |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 31st, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760594089 | NPPES |
| California | MEDICAID | 00A510930 |
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