Castaneda, Marco A

Castaneda, Marco A is an individual health care provider with primary practice located at 12255 Depaul Drive #675N, Bridgeton MO 63044. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Castaneda, Marco A can be contacted via phone (314) 576-7213.

Contact Information

Primary practice address
12255 Depaul Drive #675N Bridgeton MO 63044
Phone: (314) 576-7213
Fax: (314) 576-4755
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X R4A34 Missouri

Profile Details

NPI number 1912905134
LBN Legal business name Castaneda, Marco A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 12th, 2005
Last updated Jul 8th, 2007 - about 18 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912905134 NPPES
Other P00015224 RAILROAD MEDICARE
Other 166464 RAILROAD MEDICARE

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