Rodriguez, Nicholas John Casey
Rodriguez, Nicholas John Casey is an individual health care provider with primary practice located at 2790 Clay Edwards Dr Ste 625 , North Kansas City MO 64116-3278. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as his primary health care specialty. Rodriguez, Nicholas John Casey can be contacted via phone (816) 455-3990.Contact Information
Primary practice address
2790 Clay Edwards Dr Ste 625
North Kansas City MO 64116-3278
Phone: (816) 455-3990
Fax: (816) 455-5351
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | ATP-000747 | Arkansas |
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 363LA2100X | 2020018088 | Missouri |
Profile Details
NPI number | 1710376165 |
---|---|
LBN Legal business name | Rodriguez, Nicholas John Casey |
Credentials | AG-ACNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jan 22nd, 2015 |
Last updated | Jul 21st, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1710376165 | NPPES |
Arkansas | Other | 394391ZMTF | PROVIDER TRANSACTION ACCESS NUMBER (PTAN) |
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