Castillo, Ruth Imelda
Castillo, Ruth Imelda is an sole proprietor health care provider with primary practice located at 1401 Andrea Dr , Sierra Vista AZ 85635-2005. She recently has only one registered license in Respite Care Facility / Respite Care, Mental Illness, Child, which is considered as her primary health care specialty. Castillo, Ruth Imelda can be contacted via phone (520) 459-8965.Contact Information
Primary practice address
1401 Andrea Dr
Sierra Vista AZ 85635-2005
Phone: (520) 459-8965
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respite Care Facility / Respite Care, Mental Illness, Child | 385HR2055X | Arizona |
Profile Details
| NPI number | 1417101536 |
|---|---|
| LBN Legal business name | Castillo, Ruth Imelda |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 17th, 2008 |
| Last updated | Jul 21st, 2022 - about 3 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 | 1417101536 | NPPES |
| Arizona | MEDICAID | 00000000 |
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