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Individual
DR. PAUL R CASTLE
Active
Individual
DR. PAUL R CASTLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
038-010125
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1634260
BLUE CROSS BLUE SHEILD
IL
01
—
20-0783557
TAX ID
IL
01
—
672407
ACN IDENTIFIER
IL
01
—
7166696
AETNA IDENTIFIER
IL
01
—
9414719
PHCS IDENTIFIER
IL
Enumeration date
11/07/2006
Last updated
11/06/2013
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