Provider Demographics
NPI:1003902230
Name:CASTEEL, JOEL M (DC)
Entity Type:Individual
Prefix:DR
First Name:JOEL
Middle Name:M
Last Name:CASTEEL
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1411 N. ATHERTON ST.
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16803-3040
Mailing Address - Country:US
Mailing Address - Phone:814-235-9400
Mailing Address - Fax:814-235-9444
Practice Address - Street 1:1411 N ATHERTON ST
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16803-3040
Practice Address - Country:US
Practice Address - Phone:814-235-9400
Practice Address - Fax:814-235-9444
Is Sole Proprietor?:No
Enumeration Date:2006-10-05
Last Update Date:2016-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC 007932L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA486966300OtherDEPT OF LABOR WORKER COMP
PA001437662OtherHIGHMARK BLUE CROSS
PA0018414870002Medicaid
PA9390453OtherCIGNA HEALTH CARE
PA313305OtherUPMC
PAU85125Medicare UPIN
PA047865Medicare PIN
PA0018414870002Medicaid