Jacastillano Pllc

LBN: Jacastillano Pllc
Jacastillano Pllc is an health care organization with primary practice located at 5310 Breeze Hill Pl , Troy MI 48098-2725. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology, which is considered as the primary health care specialty. Jacastillano Pllc can be contacted via phone (904) 252-3930, or through Castillano, Jesse A via phone (904) 252-3930.

Contact Information

Primary practice address
5310 Breeze Hill Pl Troy MI 48098-2725
Phone: (904) 252-3930
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Castillano, Jesse A Doctor of Medicine (MD)
Phone: (904) 252-3930

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Vascular & Interventional Radiology 2085R0204X 4301100455 Michigan

Profile Details

NPI number 1861905739
LBN Legal business name Jacastillano Pllc
DBA Doing business as Jacastillano Pllc
Authorized official Castillano, Jesse A Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 14th, 2017
Last updated Nov 14th, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1861905739 NPPES
Michigan Other 4301100455 MI LIC#

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