Provider Demographics
NPI:1285390450
Name:CASALE MEDICAL PARTNERS LLC
Entity type:Organization
Organization Name:CASALE MEDICAL PARTNERS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JOEL
Authorized Official - Middle Name:A
Authorized Official - Last Name:CASALE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-597-8560
Mailing Address - Street 1:715 PERFECT PL
Mailing Address - Street 2:
Mailing Address - City:BOSSIER CITY
Mailing Address - State:LA
Mailing Address - Zip Code:71111-6444
Mailing Address - Country:US
Mailing Address - Phone:860-597-8560
Mailing Address - Fax:
Practice Address - Street 1:715 PERFECT PL
Practice Address - Street 2:
Practice Address - City:BOSSIER CITY
Practice Address - State:LA
Practice Address - Zip Code:71111-6444
Practice Address - Country:US
Practice Address - Phone:860-597-8560
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-11
Last Update Date:2021-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty