Castle, William Brad

Castle, William Brad is an individual health care provider with primary practice located at 6250 Old Canton Rd Suite 100, Jackson MS 39211-2946. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Castle, William Brad can be contacted via phone (601) 957-1015.

Contact Information

Primary practice address
6250 Old Canton Rd Suite 100 Jackson MS 39211-2946
Phone: (601) 957-1015
Fax: (601) 956-9721
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 17650 Mississippi

Profile Details

NPI number 1538138391
LBN Legal business name Castle, William Brad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 15th, 2006
Last updated Mar 13th, 2018 - about 7 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 1538138391 NPPES
Mississippi MEDICAID 08655383

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