person
Miss Casey Shockley
Student in an Organized Health Care Education/Training Program in Long Beach, California
NPI 1013240787

Casey Shockley is a Student in an Organized Health Care Education/Training Program based in Long Beach, CA. Casey Shockley practices in Long Beach, CA. The NPI Number for Casey Shockley is 1013240787 and holds a License No. (California).

The current practice location address for Casey Shockley is 1975 Long Beach Blvd., Long Beach, CA and can be reached out via phone at 562-218-4013 and via fax at 562-599-3934.

Location: 1975 Long Beach Blvd., Long Beach, CA, 90806
person
Provider Profile Details
NPI Number
1013240787
Provider Name
Casey Shockley
Credential
Provider Entity Type
Individual
Gender
Female
Address
1975 Long Beach Blvd., Long Beach, CA, 90806
Phone Number
562-218-4013
Fax Number
562-599-3934
Provider Enumeration Date
09/14/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
W-2983H 01 CA MEDICARE PROVIDER NUMBER
institution
Provider Business Practice Location Address Details
Address
1975 Long Beach Blvd.
City
State
Zip
90806
Phone Number
562-218-4013
Fax Number
562-599-3934
person
Provider Business Mailing Address Details
Address
1975 Long Beach Blvd.
City
State
Zip
90806
Phone Number
562-218-4013
Fax Number
562-599-3934
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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