Provider Demographics
NPI:1972618858
Name:CASTLE, WILLIAM N (MD)
Entity Type:Individual
Prefix:
First Name:WILLIAM
Middle Name:N
Last Name:CASTLE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:95 HARRIS ROAD
Mailing Address - Street 2:BUILDING 4
Mailing Address - City:KILMARNOCK
Mailing Address - State:VA
Mailing Address - Zip Code:22482-1449
Mailing Address - Country:US
Mailing Address - Phone:804-435-2665
Mailing Address - Fax:804-435-2669
Practice Address - Street 1:7135 JAHNKE ROAD
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-4017
Practice Address - Country:US
Practice Address - Phone:804-435-2665
Practice Address - Fax:804-435-2669
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2008-10-20
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Provider Licenses
StateLicense IDTaxonomies
VA0101241811208800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208800000XAllopathic & Osteopathic PhysiciansUrology
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA1972618858Medicaid
VAC29110Medicare UPIN