Provider Demographics
NPI:1235273889
Name:CASTEEL, IAN T (DC)
Entity Type:Individual
Prefix:DR
First Name:IAN
Middle Name:T
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 1:410 E MAHONING ST
Mailing Address - Street 2:
Mailing Address - City:PUNXSUTAWNEY
Mailing Address - State:PA
Mailing Address - Zip Code:15767-2125
Mailing Address - Country:US
Mailing Address - Phone:814-938-4400
Mailing Address - Fax:814-938-4411
Practice Address - Street 1:410 E MAHONING ST
Practice Address - Street 2:
Practice Address - City:PUNXSUTAWNEY
Practice Address - State:PA
Practice Address - Zip Code:15767-2125
Practice Address - Country:US
Practice Address - Phone:814-938-4400
Practice Address - Fax:814-938-4411
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-16
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC009657111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA1022379070002Medicaid
PA115380Medicare PIN