Castillo, Jose I

Castillo, Jose I is an individual health care provider with primary practice located at 1740 E Broad St , Hazleton PA 18201-5667. He recently has only one registered license in Allopathic & Osteopathic Physicians / Medical Oncology, which is considered as his primary health care specialty. Castillo, Jose I can be contacted via phone (570) 459-2902.

Contact Information

Primary practice address
1740 E Broad St Hazleton PA 18201-5667
Fax: (570) 459-6090
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Medical Oncology 207RX0202X MD069930L Pennsylvania

Profile Details

NPI number 1245223478
LBN Legal business name Castillo, Jose I
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Aug 10th, 2020 - about 4 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 1245223478 NPPES
Pennsylvania MEDICAID 0018925840002

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