Castrisos, James C

Castrisos, James C is an individual health care provider with primary practice located at 550 N Hillside St , Wichita KS 67214-4910. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Castrisos, James C can be contacted via phone (316) 789-8444.

Contact Information

Primary practice address
550 N Hillside St Wichita KS 67214-4910
Phone: (316) 789-8444
Fax: (316) 652-0340
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 04-25180 Kansas

Profile Details

NPI number 1154392256
LBN Legal business name Castrisos, James C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 28th, 2006
Last updated Jan 14th, 2014 - about 10 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 1154392256 NPPES
Kansas Other 052899 BCBS
Kansas MEDICAID 100306530A BCBS
Kansas MEDICAID 100198990B BCBS

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