Castillo, Crystal Faith

Castillo, Crystal Faith is an individual health care provider with primary practice located at 3300 Oakdale Ave N , Robbinsdale MN 55422-2926. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Castillo, Crystal Faith can be contacted via phone (763) 520-5330.

Contact Information

Primary practice address
3300 Oakdale Ave N Robbinsdale MN 55422-2926
Phone: (763) 520-5330
Fax: (763) 520-2834
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 10099 Minnesota

Profile Details

NPI number 1104872597
LBN Legal business name Castillo, Crystal Faith
Credentials PAC
Entity Individual
Sole proprietor 1 No
Enumeration date May 26th, 2006
Last updated Aug 21st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104872597 NPPES
Minnesota Other 0123659 MEDICA
Minnesota Other HP62370 MEDICA

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