Provider Demographics
NPI:1508060971
Name:CASINGAL, M. PAUL (DC)
Entity Type:Individual
Prefix:DR
First Name:M. PAUL
Middle Name:
Last Name:CASINGAL
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 1:1501 LONGRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:CHARLESTON
Mailing Address - State:WV
Mailing Address - Zip Code:25314-1609
Mailing Address - Country:US
Mailing Address - Phone:304-415-2345
Mailing Address - Fax:
Practice Address - Street 1:1501 LONGRIDGE RD
Practice Address - Street 2:
Practice Address - City:CHARLESTON
Practice Address - State:WV
Practice Address - Zip Code:25314-1609
Practice Address - Country:US
Practice Address - Phone:304-415-2345
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-12
Last Update Date:2014-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV703111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor