Alexander Castulik
Student in an Organized Health Care Education/Training Program in Saint Peters, MO. Individual provider (NPI-1).
NPI number1881158111
StatusActive
Last updated in NPPESJan 31, 2019
Details
- NPI
- 1881158111
- Entity type
- Individual (NPI-1)
- Name
- Alexander Castulik
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 31, 2019
- Last updated
- Jan 31, 2019
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – |
Practice location
1161 Spencer Hill DrSaint Peters, MO 63376-5140
Phone 314-435-7094
Mailing address
1161 Spencer Hill DrSaint Peters, MO 63376-5140
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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