Castanon, Carlo
Castanon, Carlo is an individual health care provider with primary practice located at 100 W Griggs Ave , Las Cruces NM 88001-1234. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Castanon, Carlo can be contacted via phone (575) 647-2800.Contact Information
Primary practice address
100 W Griggs Ave
Las Cruces NM 88001-1234
Phone: (575) 647-2800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1033454152 |
|---|---|
| LBN Legal business name | Castanon, Carlo |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 29th, 2012 |
| Last updated | Nov 29th, 2012 - about 14 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 | 1033454152 | NPPES |
| New Mexico | MEDICAID | 47043 |
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