Castanon, Lourdes
Castanon, Lourdes is an individual health care provider with primary practice located at 2570 Haymaker Rd Ste 304 , Monroeville PA 15146-3513. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgical Critical Care, which is considered as her primary health care specialty. Castanon, Lourdes can be contacted via phone (412) 457-0040.Contact Information
Primary practice address
2570 Haymaker Rd Ste 304
Monroeville PA 15146-3513
Phone: (412) 457-0040
Fax: (412) 457-0050
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | MD451347 | Pennsylvania |
Profile Details
| NPI number | 1790913267 |
|---|---|
| LBN Legal business name | Castanon, Lourdes |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 23rd, 2009 |
| Last updated | Oct 4th, 2017 - about 8 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790913267 | NPPES |
| Other | 12117066 | CAQH | |
| MEDICAID | 102907960 | CAQH |
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