Castillo, Juan Manuel

Castillo, Juan Manuel is an individual health care provider with primary practice located at 520 Medical Center Dr Ste 300, Medford OR 97504-4316. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Castillo, Juan Manuel can be contacted via phone (541) 282-6559.

Contact Information

Primary practice address
520 Medical Center Dr Ste 300 Medford OR 97504-4316
Phone: (541) 282-6559
Fax: (541) 282-6710
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD24186 Oregon
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X MD24186 Oregon

Profile Details

NPI number 1609957877
LBN Legal business name Castillo, Juan Manuel
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated May 15th, 2015 - about 9 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 1609957877 NPPES
Oregon Other 4898015 BLUE CROSS
Oregon MEDICAID 181998 BLUE CROSS
Oregon Other 114894 BLUE CROSS

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