Castillo, Maria

Castillo, Maria is an sole proprietor health care provider with primary practice located at 3151 Stefano Dr , Stockton CA 95212-3550. She recently has only one registered license in Other Service Providers / Driver, which is considered as her primary health care specialty. Castillo, Maria can be contacted via phone (209) 547-1215.

Contact Information

Primary practice address
3151 Stefano Dr Stockton CA 95212-3550
Fax: (209) 464-4765
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Driver 172A00000X

Profile Details

NPI number 1235399874
LBN Legal business name Castillo, Maria
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 16th, 2008
Last updated Jun 16th, 2008 - about 16 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 1235399874 NPPES
California Other MTN01069F MEDI-CAL PROVIDER

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