Castrolondono, Jairo De Jesus

Castrolondono, Jairo De Jesus is an individual health care provider with primary practice located at 1200 N Beaver St , Flagstaff AZ 86001-3118. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Medical Genetics, Ph.D. Medical Genetics, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Castrolondono, Jairo De Jesus can be contacted via phone (928) 214-2920.

Contact Information

Primary practice address
1200 N Beaver St Flagstaff AZ 86001-3118
Phone: (928) 214-2920
Fax: (928) 214-2925
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Medical Genetics, Ph.D. Medical Genetics 170100000X
Allopathic & Osteopathic Physicians / Hospitalist 208M00000X 42662 Arizona

Profile Details

NPI number 1730239310
LBN Legal business name Castrolondono, Jairo De Jesus
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 12th, 2007
Last updated Dec 18th, 2015 - 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 1730239310 NPPES
Arizona MEDICAID 513757

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