Castellanos, Patricia
Castellanos, Patricia is an individual health care provider with primary practice located at 200 N 24Th St , Rogers AR 72756-3591. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Castellanos, Patricia can be contacted via phone (479) 636-2100.Contact Information
Primary practice address
200 N 24Th St
Rogers AR 72756-3591
Phone: (479) 636-2100
Fax: (479) 636-2110
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 3459 | Arkansas |
Profile Details
| NPI number | 1760499602 |
|---|---|
| LBN Legal business name | Castellanos, Patricia |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 2nd, 2006 |
| Last updated | Nov 13th, 2019 - about 6 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 | 1760499602 | NPPES |
| Arkansas | MEDICAID | 152469608 |
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