MEDICARE: CASSIE CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	111N00000X	Chiropractor	272397	OR

General Provider Information

NPI Number	:	1184765141
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CASSIE CORP

Provider Business Mailing Address
First Line	:	455 W 6TH AVE
Second Line	:
City	:	JUNCTION CITY
State	:	OR
Zip	:	97448-1670
Country	:	US
Telephone Number	:	541-998-6260
Fax Number	:	541-998-5716

Provider Business Practice Location Address
First Line	:	455 W 6TH AVE
Second Line	:
City	:	JUNCTION CITY
State	:	OR
Zip	:	97448-1670
Country	:	US
Telephone Number	:	541-998-6260
Fax Number	:	541-998-5716

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. ROB A ALBERT
Credential	:	D.C.
Telephone Number	:	541-998-6260

Provider Enumeration Date	:	02/10/2007
Last Update Date	:	08/22/2020

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Directions to “CASSIE CORP ” Practice Location

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