Short, Casie Hurd

Short, Casie Hurd is an individual health care provider with primary practice located at 175 Connors St , Gardner MA 01440-2637. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Short, Casie Hurd can be contacted via phone (978) 410-6100.

Contact Information

Primary practice address
175 Connors St Gardner MA 01440-2637
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA3787 Massachusetts

Profile Details

NPI number 1205067279
LBN Legal business name Short, Casie Hurd
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 7th, 2009
Last updated Nov 30th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205067279 NPPES
Massachusetts MEDICAID 110105155A

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