Provider Demographics
NPI:1134671266
Name:CASTER PRIMARY CARE LLC
Entity Type:Organization
Organization Name:CASTER PRIMARY CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN / OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:MIKAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:SCHILB
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:740-277-2544
Mailing Address - Street 1:737 E MAIN ST STE D
Mailing Address - Street 2:
Mailing Address - City:LANCASTER
Mailing Address - State:OH
Mailing Address - Zip Code:43130-3937
Mailing Address - Country:US
Mailing Address - Phone:740-277-2544
Mailing Address - Fax:740-277-2543
Practice Address - Street 1:737 E MAIN ST STE D
Practice Address - Street 2:
Practice Address - City:LANCASTER
Practice Address - State:OH
Practice Address - Zip Code:43130-3937
Practice Address - Country:US
Practice Address - Phone:740-277-2544
Practice Address - Fax:740-277-2543
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-24
Last Update Date:2016-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH34012165207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty