Provider Demographics
NPI:1003104951
Name:CASTEEL, JOHN C (ATP)
Entity Type:Individual
Prefix:
First Name:JOHN
Middle Name:C
Last Name:CASTEEL
Suffix:
Gender:M
Credentials:ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2700 PURDUE DR
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73128-5802
Mailing Address - Country:US
Mailing Address - Phone:918-260-3276
Mailing Address - Fax:918-369-5657
Practice Address - Street 1:2700 PURDUE DR
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73128-5802
Practice Address - Country:US
Practice Address - Phone:918-260-3276
Practice Address - Fax:918-369-5657
Is Sole Proprietor?:No
Enumeration Date:2011-07-13
Last Update Date:2011-07-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OKTA285247200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes247200000XTechnologists, Technicians & Other Technical Service ProvidersTechnician, Other