Castrejon, Eduardo A.
Castrejon, Eduardo A. is an sole proprietor health care provider with primary practice located at 1205 S Solano Dr , Las Cruces NM 88001-3755. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Castrejon, Eduardo A. can be contacted via phone (505) 254-9119.Contact Information
Primary practice address
1205 S Solano Dr
Las Cruces NM 88001-3755
Phone: (505) 254-9119
Fax: (505) 525-1889
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | NM82-19 | New Mexico |
Profile Details
| NPI number | 1093702987 |
|---|---|
| LBN Legal business name | Castrejon, Eduardo A. |
| Credentials | M.D. P.A. |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 5th, 2005 |
| Last updated | Apr 11th, 2011 - about 13 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 | 1093702987 | NPPES |
| New Mexico | MEDICAID | 201001583 | |
| New Mexico | MEDICAID | 85-0440261 | |
| New Mexico | Other | 188063500 | |
| New Mexico | Other | 0505 | |
| New Mexico | MEDICAID | 08656 | |
| New Mexico | Other | 073952601 |
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