Pickerill, Casey L

Pickerill, Casey L is an individual health care provider with primary practice located at 2525 South St , Lafayette IN 47904-3028. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Pickerill, Casey L can be contacted via phone (765) 807-2320.

Contact Information

Primary practice address
2525 South St Lafayette IN 47904-3028
Phone: (765) 807-2320
Fax: (765) 807-2330
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 01046327A Indiana

Profile Details

NPI number 1164491759
LBN Legal business name Pickerill, Casey L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2006
Last updated Jun 15th, 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 1164491759 NPPES
Indiana Other 000000337599 ANTHEM PROVIDER NUMBER
Indiana MEDICAID 200133970A ANTHEM PROVIDER NUMBER

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