Castor, Eric A
Castor, Eric A is an sole proprietor health care provider with primary practice located at 121 N Hospital Dr , Lakeland GA 31635-1314. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Castor, Eric A can be contacted via phone (229) 482-1100.Contact Information
Primary practice address
121 N Hospital Dr
Lakeland GA 31635-1314
Phone: (229) 482-1100
Fax: (229) 482-1103
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / General Practice | 1223G0001X | DN013346 | Georgia |
Profile Details
| NPI number | 1831355122 |
|---|---|
| LBN Legal business name | Castor, Eric A |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 6th, 2008 |
| Last updated | Jul 11th, 2023 - about 3 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 | 1831355122 | NPPES |
| Georgia | MEDICAID | 426342256A |
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