Lacerna, Charlton Castillo

Lacerna, Charlton Castillo is an sole proprietor health care provider with primary practice located at 19460 Grand River Ave , Detroit MI 48223. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Lacerna, Charlton Castillo can be contacted via phone (313) 387-1097.

Contact Information

Primary practice address
19460 Grand River Ave Detroit MI 48223
Phone: (313) 387-1097
Fax: (313) 387-8795
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 4301116455 Michigan
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 60287621 Washington

Profile Details

NPI number 1235373135
LBN Legal business name Lacerna, Charlton Castillo
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 23rd, 2009
Last updated Oct 4th, 2023 - about 3 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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