Castillo, Katherine

Castillo, Katherine is an individual health care provider with primary practice located at 1107 S Atkinson Ave , Roswell NM 88203-7154. She recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as her primary health care specialty. Castillo, Katherine can be contacted via phone (575) 578-4826.

Contact Information

Primary practice address
1107 S Atkinson Ave Roswell NM 88203-7154
Fax: (575) 578-4828
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CSA0208821 New Mexico

Profile Details

NPI number 1467088013
LBN Legal business name Castillo, Katherine
Credentials LSAA
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 16th, 2020
Last updated Mar 16th, 2020 - about 5 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 1467088013 NPPES
New Mexico MEDICAID CSA0208821

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