Castillo, Pauline Sophie

Castillo, Pauline Sophie is an sole proprietor health care provider with primary practice located at 1401 Anita St , Pueblo CO 81001-2122. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Family, Nursing Service Providers / Registered Nurse. Physician Assistants & Advanced Practice Nursing Providers / Family is her primary health care specialty. Castillo, Pauline Sophie can be contacted via phone (719) 225-6510.

Contact Information

Primary practice address
1401 Anita St Pueblo CO 81001-2122
Phone: (719) 225-6510
Fax: (719) 542-3514
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 4815 Colorado
Nursing Service Providers / Registered Nurse 163W00000X 164080 Colorado

Profile Details

NPI number 1427178722
LBN Legal business name Castillo, Pauline Sophie
Credentials Family Nurse Practitioner (FNP)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 30th, 2007
Last updated Aug 19th, 2011 - about 13 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 1427178722 NPPES
Colorado MEDICAID 27872769
Colorado MEDICAID 36920061

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