Casto, Jonathan Grant

Casto, Jonathan Grant is an individual health care provider with primary practice located at 120 Desert Sage Way , Mountain Home ID 83647-1038. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Casto, Jonathan Grant can be contacted via phone (208) 587-3988.

Contact Information

Primary practice address
120 Desert Sage Way Mountain Home ID 83647-1038
Phone: (208) 587-3988
Fax: (208) 587-3324
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 01742 West Virginia

Profile Details

NPI number 1952738577
LBN Legal business name Casto, Jonathan Grant
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2013
Last updated May 14th, 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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