Castillo, Gabriella

Castillo, Gabriella is an individual health care provider with primary practice located at 422 Poplar St , Terre Haute IN 47807-4209. She recently has only one registered license in Allopathic & Osteopathic Physicians / Dermatology, which is considered as her primary health care specialty. Castillo, Gabriella can be contacted via phone (812) 242-3180.

Contact Information

Primary practice address
422 Poplar St Terre Haute IN 47807-4209
Phone: (812) 242-3180
Fax: (812) 242-3857
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Dermatology 207N00000X 01027710A Indiana

Profile Details

NPI number 1326155102
LBN Legal business name Castillo, Gabriella
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2006
Last updated Aug 18th, 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 1326155102 NPPES
Other 4062035 AETNA
Other P00828495 AETNA
Other 01379B AETNA
Other 0160275009 AETNA
MEDICAID 100251620B AETNA
Other 108911 AETNA
Other 000000080106 AETNA

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