Ducastel, Jonathan Aaron

Ducastel, Jonathan Aaron is an individual health care provider with primary practice located at 3537 W Front St Ste A , Traverse City MI 49684-7942. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Ducastel, Jonathan Aaron can be contacted via phone (231) 935-0338.

Contact Information

Primary practice address
3537 W Front St Ste A Traverse City MI 49684-7942
Phone: (231) 935-0338
Fax: (231) 258-7555
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 4301112263 Michigan

Profile Details

NPI number 1073956694
LBN Legal business name Ducastel, Jonathan Aaron
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 12th, 2013
Last updated Jan 30th, 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 1073956694 NPPES
Michigan MEDICAID 1073956694

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