Shimane, Casey Keisuke
Shimane, Casey Keisuke is an individual health care provider with primary practice located at 20406 Redwood Rd Ste G , Castro Valley CA 94546-4317. He recently has only one registered license in Dental Providers / Oral and Maxillofacial Surgery, which is considered as his primary health care specialty. Shimane, Casey Keisuke can be contacted via phone (510) 885-8720.Contact Information
Primary practice address
20406 Redwood Rd Ste G
Castro Valley CA 94546-4317
Phone: (510) 885-8720
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | 43658 | California |
Profile Details
| NPI number | 1588094528 |
|---|---|
| LBN Legal business name | Shimane, Casey Keisuke |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 12th, 2013 |
| Last updated | Nov 12th, 2013 - about 11 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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