Healthcare Provider Details

I. General information

NPI: 1518426139
Provider Name (Legal Business Name): CASEY LYNN SEITZ BERRETTINI PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/13/2019
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

151 KOSER RD
LITITZ PA
17543-7602
US

IV. Provider business mailing address

151 KOSER RD
LITITZ PA
17543-7602
US

V. Phone/Fax

Practice location:
  • Phone: 717-839-5466
  • Fax: 717-798-3347
Mailing address:
  • Phone: 717-839-5466
  • Fax: 717-798-3347

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License NumberMA060546
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberC5-0012139
License Number StateDE
# 3
Primary TaxonomyY
Taxonomy Code363AM0700X
TaxonomyMedical Physician Assistant
License NumberMA060546
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: