Castillo, Carlos S
Castillo, Carlos S is an individual health care provider with primary practice located at 301 E Saint Joseph St , Green Bay WI 54301-2241. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Castillo, Carlos S can be contacted via phone (920) 433-3630.Contact Information
Primary practice address
301 E Saint Joseph St
Green Bay WI 54301-2241
Phone: (920) 433-3630
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 49029 | Wisconsin |
Profile Details
| NPI number | 1659358620 |
|---|---|
| LBN Legal business name | Castillo, Carlos S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 29th, 2005 |
| Last updated | Oct 17th, 2011 - about 13 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 | 1659358620 | NPPES |
| Wisconsin | Other | 34832500 | WISCONSIN MEDICAID |
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