Rasberry - Casselberry, Brenda L

Rasberry - Casselberry, Brenda L is an sole proprietor health care provider with primary practice located at 2121 Executive Park Drive , Opelika AL 36801. She recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Podiatrist is her primary health care specialty. Rasberry - Casselberry, Brenda L can be contacted via phone (334) 705-0544.

Contact Information

Primary practice address
2121 Executive Park Drive Opelika AL 36801
Phone: (334) 705-0544
Fax: (334) 705-0548
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 132 Alabama
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X 132 Alabama

Profile Details

NPI number 1750484358
LBN Legal business name Rasberry - Casselberry, Brenda L
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 7th, 2006
Last updated Nov 11th, 2016 - about 8 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 1750484358 NPPES
Alabama Other 480013769 MEDICARE RAILROAD
Alabama Other 51540360 MEDICARE RAILROAD
Alabama MEDICAID 529912550 MEDICARE RAILROAD
Alabama Other 51540725 MEDICARE RAILROAD
Alabama Other 5043300001 MEDICARE RAILROAD
Alabama Other CM3112 MEDICARE RAILROAD

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