Sansom, Casey R

Sansom, Casey R is an individual health care provider with primary practice located at 420 Hillcrest Ave , Grove City PA 16127-1708. She recently has 3 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Medical, Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is her primary health care specialty. Sansom, Casey R can be contacted via phone (724) 458-4950.

Contact Information

Primary practice address
420 Hillcrest Ave Grove City PA 16127-1708
Phone: (724) 458-4950
Fax: (724) 458-4822
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X OA000909 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X MA052529 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X MA052529 Pennsylvania
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X MA052529 Pennsylvania

Profile Details

NPI number 1659448215
LBN Legal business name Sansom, Casey R
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 29th, 2006
Last updated Jan 25th, 2024 - about 8 months 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 1659448215 NPPES
Pennsylvania MEDICAID 103205962

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