Provider Demographics
NPI:1194105049
Name:COUNTS, CASEY CRAIG (CNP)
Entity type:Individual
Prefix:MR
First Name:CASEY
Middle Name:CRAIG
Last Name:COUNTS
Suffix:
Gender:M
Credentials:CNP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6466 FOX HILL DR
Mailing Address - Street 2:
Mailing Address - City:CANAL WINCHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:43110-8766
Mailing Address - Country:US
Mailing Address - Phone:419-236-6185
Mailing Address - Fax:
Practice Address - Street 1:6466 FOX HILL DR
Practice Address - Street 2:
Practice Address - City:CANAL WINCHESTER
Practice Address - State:OH
Practice Address - Zip Code:43110-8766
Practice Address - Country:US
Practice Address - Phone:419-236-6185
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-05
Last Update Date:2024-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHAPRN.CNP.17408363LF0000X, 363L00000X
OHCOA.17408-NP363LF0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363L00000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse Practitioner
Yes363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamily