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Contact Information

CASEY C VERCRUYSSE, PA-C
845 S ROUTE 51
FORSYTH, IL62535
 Phone: 217-872-0953
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physician Assistant

363A00000X 97 Physician Assistant
Indicates primary specialty

NPI Profile & details for CASEY C VERCRUYSSE · (Male)

NPI # 1841799848
Status Active
Credentials PA-C (Physician Assistant-Certified)
Entity Individual
Enumeration date 02/05/2018
Last updated 09/13/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s)
  • FRISBIE MEMORIAL HOSPITAL - (Acute Care)
    11 WHITEHALL ROAD
    ROCHESTER, NH 03867
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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