Caster, Willis J
Caster, Willis J is an individual health care provider with primary practice located at 2227 W Broadway , Council Bluffs IA 51501. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Caster, Willis J can be contacted via phone (712) 322-8241.Contact Information
Primary practice address
2227 W Broadway
Council Bluffs IA 51501
Phone: (712) 322-8241
Fax: (712) 322-8250
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | 4179 | Iowa |
Profile Details
| NPI number | 1063455772 |
|---|---|
| LBN Legal business name | Caster, Willis J |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 13th, 2006 |
| Last updated | Jul 8th, 2007 - about 17 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 | 1063455772 | NPPES |
| Iowa | MEDICAID | 0091355 |
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