Provider Demographics
NPI:1457302929
Name:CELESTE, ALAN ANDREW (DC)
Entity Type:Individual
Prefix:
First Name:ALAN
Middle Name:ANDREW
Last Name:CELESTE
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 1:7708 PROSPECTOR PLACE
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27615
Mailing Address - Country:US
Mailing Address - Phone:919-845-1022
Mailing Address - Fax:
Practice Address - Street 1:186 WIND CHIME CT
Practice Address - Street 2:STE 104
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27615
Practice Address - Country:US
Practice Address - Phone:919-848-8812
Practice Address - Fax:919-848-1227
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1974111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
2455347Medicare ID - Type Unspecified
UR6345Medicare UPIN