Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207RH0003X | Hematology & Oncology | 01063891A | IN |
N | 207RH0003X | Hematology & Oncology | 38936 | IA |
Y | 207RX0202X | Medical Oncology | 38936 | IA |
NPI | 1083747166 |
---|---|
Provider Name | Erin M. Casey |
First Address | Cedar Rapids, IA 52403-1251 |
Second Address | Cedar Rapids, IA 52403-1251 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/03/2007 |
Last Update Date | 30/04/2012 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1083747166 | (05) | IA |
1083747166 | WELLMARK BLUE CROSS/BLUE SHIELD (01) | IA |