Provider Demographics
NPI:1073543849
Name:KASER, MARIE E
Entity Type:Individual
Prefix:MRS
First Name:MARIE
Middle Name:E
Last Name:KASER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:371 MILL ST NW
Mailing Address - Street 2:
Mailing Address - City:SUGARCREEK
Mailing Address - State:OH
Mailing Address - Zip Code:44681-9559
Mailing Address - Country:US
Mailing Address - Phone:330-852-3009
Mailing Address - Fax:
Practice Address - Street 1:371 MILL ST NW
Practice Address - Street 2:
Practice Address - City:SUGARCREEK
Practice Address - State:OH
Practice Address - Zip Code:44681-9559
Practice Address - Country:US
Practice Address - Phone:330-852-3009
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2168345Medicaid