Castro, Julianna M

Castro, Julianna M is an individual health care provider with primary practice located at 5401 44Th Avenue Dr Suite 100, Moline IL 61265-8126. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Castro, Julianna M can be contacted via phone (309) 779-5670.

Contact Information

Primary practice address
5401 44Th Avenue Dr Suite 100 Moline IL 61265-8126
Phone: (309) 779-5670
Fax: (309) 779-5675
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 209-000723 Illinois
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X A-083274 Iowa

Profile Details

NPI number 1760487839
LBN Legal business name Castro, Julianna M
Credentials Advanced Practice Nurse (APN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2005
Last updated Feb 5th, 2015 - about 9 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 1760487839 NPPES
Other 97792 WELLMARK BC/BS
Other 64903 WELLMARK BC/BS
Other 4796890024 WELLMARK BC/BS
Other IL0113 WELLMARK BC/BS
Other P01371975 WELLMARK BC/BS
Other 048919 WELLMARK BC/BS

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