White, Casey D
White, Casey D is an sole proprietor health care provider with primary practice located at 221 Ne Glen Oak Ave , Peoria IL 61636-0001. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Acute Care. Physician Assistants & Advanced Practice Nursing Providers / Acute Care is her primary health care specialty. White, Casey D can be contacted via phone (309) 672-4433.Contact Information
Primary practice address
221 Ne Glen Oak Ave
Peoria IL 61636-0001
Phone: (309) 672-4433
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner | 363L00000X | 209022758 | Illinois |
Physician Assistants & Advanced Practice Nursing Providers / Acute Care | 364SA2100X | 209022758 | Illinois |
Profile Details
NPI number | 1487247821 |
---|---|
LBN Legal business name | White, Casey D |
Credentials | Advanced Practice Registered Nurse (APRN) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 17th, 2021 |
Last updated | Mar 15th, 2023 - about last year |
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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