De Castro, Iris Camille Canicula

De Castro, Iris Camille Canicula is an individual health care provider with primary practice located at 1959 Ne Pacific St Box 50095, Seattle WA 98195-0001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is her primary health care specialty. De Castro, Iris Camille Canicula can be contacted via phone (206) 543-6420.

Contact Information

Primary practice address
1959 Ne Pacific St Box 50095 Seattle WA 98195-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X .60329901 Washington
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X MD60329901 Washington

Profile Details

NPI number 1851611875
LBN Legal business name De Castro, Iris Camille Canicula
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2010
Last updated Jul 13th, 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 1851611875 NPPES
Washington MEDICAID 1851611875

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