Castleberg, Charles Montgomery

Castleberg, Charles Montgomery is an individual health care provider with primary practice located at 215 N. Webster , Green Bay WI 54301. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Ergonomics. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Castleberg, Charles Montgomery can be contacted via phone (920) 431-5588.

Contact Information

Primary practice address
215 N. Webster Green Bay WI 54301
Phone: (920) 431-5588
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 10345-24 Wisconsin
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Ergonomics 2251E1200X 10345-24 Wisconsin

Profile Details

NPI number 1730392762
LBN Legal business name Castleberg, Charles Montgomery
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date May 7th, 2007
Last updated Jul 8th, 2007 - about 18 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 1730392762 NPPES
Wisconsin MEDICAID 36123900

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