Prough, Casey S
Prough, Casey S is an individual health care provider with primary practice located at 4045 Ne Lakewood Way Suite 130, Lees Summit MO 64064-1799. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Prough, Casey S can be contacted via phone (816) 886-2184.Contact Information
Primary practice address
4045 Ne Lakewood Way Suite 130
Lees Summit MO 64064-1799
Phone: (816) 886-2184
Fax: (816) 886-2397
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 2005016214 | Missouri |
Profile Details
| NPI number | 1396723706 |
|---|---|
| LBN Legal business name | Prough, Casey S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 5th, 2006 |
| Last updated | Sep 29th, 2014 - about 12 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 | 1396723706 | NPPES |
| Missouri | MEDICAID | 1396723706 |
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