Decastro, Ismary Ojeda
Decastro, Ismary Ojeda is an individual health care provider with primary practice located at 4750 Waters Ave Ste 452 , Savannah GA 31404. She recently has only one registered license in Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism, which is considered as her primary health care specialty. Decastro, Ismary Ojeda can be contacted via phone (912) 350-5909.Contact Information
Primary practice address
4750 Waters Ave Ste 452
Savannah GA 31404
Phone: (912) 350-5909
Fax: (912) 350-5914
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Endocrinology, Diabetes & Metabolism | 207RE0101X | 067555 | Georgia |
Profile Details
| NPI number | 1962697730 |
|---|---|
| LBN Legal business name | Decastro, Ismary Ojeda |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 13th, 2007 |
| Last updated | Aug 7th, 2018 - about 6 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1962697730 | NPPES |
| Georgia | MEDICAID | 003122748A | |
| Georgia | Other | P01048149 |
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