Healthcare Provider Details

I. General information

NPI: 1487156030
Provider Name (Legal Business Name): FRANCIS CASTILLO ABUAN
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/28/2018
Last Update Date: 02/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1215 E MICHIGAN AVE
LANSING MI
48912-1811
US

IV. Provider business mailing address

2048 HAMILTON RD
OKEMOS MI
48864-2105
US

V. Phone/Fax

Practice location:
  • Phone: 517-364-2786
  • Fax:
Mailing address:
  • Phone: 517-410-7478
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: