Castrodale, Brett L.

Castrodale, Brett L. is an individual health care provider with primary practice located at 77 Market St Ste E, Palmyra VA 22963-4687. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Castrodale, Brett L. can be contacted via phone (434) 589-9030.

Contact Information

Primary practice address
77 Market St Ste E Palmyra VA 22963-4687
Phone: (434) 589-9030
Fax: (434) 589-9040
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 0101261187 Virginia

Profile Details

NPI number 1194168245
LBN Legal business name Castrodale, Brett L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 8th, 2013
Last updated Aug 9th, 2023 - about 2 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 1194168245 NPPES
Virginia MEDICAID 1194168245

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