Castillo, Thomas A

Castillo, Thomas A is an individual health care provider with primary practice located at 240 Corporate Drive , Beaver Dam WI 53916-3115. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Castillo, Thomas A can be contacted via phone (920) 887-1151.

Contact Information

Primary practice address
240 Corporate Drive Beaver Dam WI 53916-3115
Phone: (920) 887-1151
Fax: (920) 887-3353
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 40496 Wisconsin

Profile Details

NPI number 1700805454
LBN Legal business name Castillo, Thomas A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 19th, 2006
Last updated May 1st, 2024 - about 2 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 1700805454 NPPES
Other 391156156 TAX ID
Other 180034885 TAX ID
Other 31662 TAX ID
MEDICAID 30088300 TAX ID
Other 11995 TAX ID
Other 1024501 TAX ID
Other 39115615613 TAX ID
Other WI0113 TAX ID

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