Castillo, Richard

Castillo, Richard is an individual health care provider with primary practice located at 1001 N Grand Ave , Tahlequah OK 74464-7017. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Castillo, Richard can be contacted via phone (918) 458-2109.

Contact Information

Primary practice address
1001 N Grand Ave Tahlequah OK 74464-7017
Phone: (918) 458-2109
Fax: (918) 458-2310
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 3182 Oklahoma

Profile Details

NPI number 1679593008
LBN Legal business name Castillo, Richard
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2006
Last updated Jul 31st, 2008 - about 17 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 1679593008 NPPES
Oklahoma MEDICAID 100766240B

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