Zachary Castano
Individual provider Active NPI Electroneurodiagnostic Specialist/Technologist · Wixom, MI
NPI 1659959682 · NPPES record last updated Mar 31, 2021
Key facts
- NPI
- 1659959682
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Electroneurodiagnostic Specialist/Technologist 246ZE0600X
- Practice address
- 28345 Beck Rd Ste 103
Wixom, MI 48393-4733 - Phone
- (866) 766-3783
- Fax
- (248) 773-7703
- NPI assigned
- Mar 31, 2021
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Electroneurodiagnostic Specialist/Technologist | 246ZE0600X | Yes |
Addresses
Primary practice location
28345 Beck Rd Ste 103
Wixom, MI 48393-4733
Mailing address
28345 Beck Rd Ste 103
Wixom, MI 48393-4733
Phone (866) 766-3783
Other providers in Wixom, MI
- Nicole Marie Buchwald
- Yana Bugrimova
- Mary Denay Busby
- Daviana Butler
- Carla'S Comp-Anionship & Care LLC
- Rachel Chidester
- Dana Chirico
- City of Wixom
- Scott Clancey
- William Clisham
All providers in Wixom, MI · Electroneurodiagnostic Specialist/Technologist in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.