Castillo, James Glenn

Castillo, James Glenn is an individual health care provider with primary practice located at 130 Morris Rd , Circleville OH 43113-1362. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Castillo, James Glenn can be contacted via phone (740) 477-6511.

Contact Information

Primary practice address
130 Morris Rd Circleville OH 43113-1362
Phone: (740) 477-6511
Fax: (740) 477-6888
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 50000759 Ohio

Profile Details

NPI number 1700967692
LBN Legal business name Castillo, James Glenn
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 18th, 2006
Last updated Jun 7th, 2022 - about 3 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 1700967692 NPPES
Ohio MEDICAID 0067382

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