De Castro, Fernando R.
De Castro, Fernando R. is an individual health care provider with primary practice located at 250 Fountain Ct , Lexington KY 40509-1888. He recently has 4 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Dermatology, Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology, Allopathic & Osteopathic Physicians / Procedural Dermatology, Allopathic & Osteopathic Physicians / Dermatopathology. Allopathic & Osteopathic Physicians / Dermatopathology is his primary health care specialty. De Castro, Fernando R. can be contacted via phone (859) 263-4444.Contact Information
Primary practice address
250 Fountain Ct
Lexington KY 40509-1888
Phone: (859) 263-4444
Fax: (859) 254-1814
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Dermatology | 207N00000X | 31195 | Kentucky |
| Allopathic & Osteopathic Physicians / Clinical & Laboratory Dermatological Immunology | 207NI0002X | 31195 | Kentucky |
| Allopathic & Osteopathic Physicians / Procedural Dermatology | 207NS0135X | 31195 | Kentucky |
| Allopathic & Osteopathic Physicians / Dermatopathology | 207ND0900X | 31195 | Kentucky |
Profile Details
| NPI number | 1558364976 |
|---|---|
| LBN Legal business name | De Castro, Fernando R. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 31st, 2005 |
| Last updated | Oct 6th, 2023 - about last year |
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 | 1558364976 | NPPES |
| Kentucky | MEDICAID | 64311954 | |
| Kentucky | Other | 000000044795 | |
| Kentucky | Other | 0300072 |
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