Castillo, Alissandro Roque

Castillo, Alissandro Roque is an individual health care provider with primary practice located at 478 Williamson Rd Suite B, Mooresville NC 28117-9109. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Castillo, Alissandro Roque can be contacted via phone (704) 662-3627.

Contact Information

Primary practice address
478 Williamson Rd Suite B Mooresville NC 28117-9109
Phone: (704) 662-3627
Fax: (704) 662-3229
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 9900793 North Carolina

Profile Details

NPI number 1023096211
LBN Legal business name Castillo, Alissandro Roque
Credentials MD, MBA
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 6th, 2006
Last updated Feb 23rd, 2010 - about 14 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 1023096211 NPPES
North Carolina MEDICAID 8912408

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