Provider Demographics
NPI:1518426139
Name:BERRETTINI, CASEY LYNN SEITZ (PA-C)
Entity type:Individual
Prefix:
First Name:CASEY
Middle Name:LYNN SEITZ
Last Name:BERRETTINI
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:151 KOSER RD
Mailing Address - Street 2:
Mailing Address - City:LITITZ
Mailing Address - State:PA
Mailing Address - Zip Code:17543-7602
Mailing Address - Country:US
Mailing Address - Phone:717-839-5466
Mailing Address - Fax:717-798-3347
Practice Address - Street 1:151 KOSER RD
Practice Address - Street 2:
Practice Address - City:LITITZ
Practice Address - State:PA
Practice Address - Zip Code:17543-7602
Practice Address - Country:US
Practice Address - Phone:717-839-5466
Practice Address - Fax:717-798-3347
Is Sole Proprietor?:No
Enumeration Date:2019-03-13
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA060546363A00000X, 363AM0700X
DEC5-0012139363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant