Del Castillo Matos, Elaine

Del Castillo Matos, Elaine is an individual health care provider with primary practice located at 2200 Philadelphia Drive Suite 555, Dayton OH 45406. 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. Del Castillo Matos, Elaine can be contacted via phone (937) 275-5100.

Contact Information

Primary practice address
2200 Philadelphia Drive Suite 555 Dayton OH 45406
Phone: (937) 275-5100
Fax: (937) 275-4587
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 50002385 Ohio

Profile Details

NPI number 1538116249
LBN Legal business name Del Castillo Matos, Elaine
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2006
Last updated Jul 8th, 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 1538116249 NPPES
Ohio Other 000000388100 ANTHEM

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