Castenell, Michael Louis
Castenell, Michael Louis is an sole proprietor health care provider with primary practice located at 209 N Lorena Ave , Farmington NM 87401-8446. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Castenell, Michael Louis can be contacted via phone (505) 324-1791.Contact Information
Primary practice address
209 N Lorena Ave
Farmington NM 87401-8446
Phone: (505) 324-1791
Fax: (505) 324-8262
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | I-0034 | New Mexico |
Profile Details
| NPI number | 1477638906 |
|---|---|
| LBN Legal business name | Castenell, Michael Louis |
| Credentials | DSW, LISW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 25th, 2006 |
| Last updated | Jul 9th, 2007 - about 19 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 | 1477638906 | NPPES |
| New Mexico | MEDICAID | 97686 | |
| New Mexico | MEDICAID | NM100582 |
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