Casey M Rowe, WCMT, NCTMB
Individual provider Active NPI Contractor · De Forest, WI
NPI 1992957781 · NPPES record last updated Oct 13, 2008
Key facts
- NPI
- 1992957781
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Contractor 171W00000X
- License
- 2375-046 (WI)
- Practice address
- 507 Old Indian TRL
De Forest, WI 53532-3078 - Phone
- (608) 692-8366
- NPI assigned
- Oct 13, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2375-046 | WI | MD | Contractor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Contractor | 171W00000X | 2375-046 | WI | Yes |
Addresses
Primary practice location
507 Old Indian TRL
De Forest, WI 53532-3078
Mailing address
507 Old Indian TRL
De Forest, WI 53532-3078
Phone (608) 692-8366
Other providers in De Forest, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 13, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.