Castillo, Michael Allen

Castillo, Michael Allen is an sole proprietor health care provider with primary practice located at 5310 W Thunderbird Rd Ste 215 , Glendale AZ 85306-4712. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pain Medicine, Allopathic & Osteopathic Physicians / Interventional Pain Medicine, Agencies / Home Infusion. Allopathic & Osteopathic Physicians / Pain Medicine is his primary health care specialty. Castillo, Michael Allen can be contacted via phone (602) 242-9891.

Contact Information

Primary practice address
5310 W Thunderbird Rd Ste 215 Glendale AZ 85306-4712
Phone: (602) 242-9891
Fax: (602) 242-9895
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pain Medicine 208VP0000X 27636 Arizona
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X 27636 Arizona
Agencies / Home Infusion 251F00000X
Allopathic & Osteopathic Physicians / Pain Medicine 207LP2900X 27636 Arizona

Profile Details

NPI number 1619991643
LBN Legal business name Castillo, Michael Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 26th, 2006
Last updated Jul 20th, 2022 - about 2 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 1619991643 NPPES
Arizona MEDICAID 517419

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