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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1679593008 | NPPES |
| Oklahoma | MEDICAID | 100766240B |
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