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NPI Code Detail

MEDICARE: RYAN CHASE CASTO

MEDICARE: RYAN CHASE CASTO
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial WorkerBP00947359WV

General Provider Information

NPI Number : 1487249272
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN CHASE CASTO
Provider Business Mailing Address
First Line : 508 MARKET ST
Second Line :
City : FAIRMONT
State : WV
Zip : 26554-5212
Country : US
Telephone Number : 304-276-6022
Fax Number :
Provider Business Practice Location Address
First Line : 701 BENONI AVE
Second Line :
City : FAIRMONT
State : WV
Zip : 26554-2508
Country : US
Telephone Number : 681-404-6135
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/04/2021
Last Update Date : 12/03/2025

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Directions to “ RYAN CHASE CASTO ” Practice Location

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