Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | DC 007932L | PA |
NPI | 1003902230 |
---|---|
Provider Name | Dr. Joel M Casteel |
First Address | State College, PA 16803-3040 |
Second Address | State College, PA 16803-3040 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/10/2006 |
Last Update Date | 18/03/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001437662 | HIGHMARK BLUE CROSS (01) | PA |
0018414870002 | (05) | PA |
313305 | UPMC (01) | PA |
486966300 | DEPT OF LABOR WORKER COMP (01) | PA |
9390453 | CIGNA HEALTH CARE (01) | PA |
U85125 | (02) | PA |