Provider Demographics
NPI:1578860797
Name:HOLSTEIN, CELESTE F (DC)
Entity Type:Individual
Prefix:DR
First Name:CELESTE
Middle Name:F
Last Name:HOLSTEIN
Suffix:
Gender:F
Credentials:DC
Other - Prefix:DR
Other - First Name:CELESTE
Other - Middle Name:
Other - Last Name:FRANK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DC
Mailing Address - Street 1:38040 DAUGHTERY RD
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33540-1375
Mailing Address - Country:US
Mailing Address - Phone:813-788-0496
Mailing Address - Fax:813-783-8910
Practice Address - Street 1:38040 DAUGHTERY RD
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33540-1375
Practice Address - Country:US
Practice Address - Phone:813-788-0496
Practice Address - Fax:813-783-8910
Is Sole Proprietor?:Yes
Enumeration Date:2011-02-24
Last Update Date:2019-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLCH10251111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
ER923ZOtherMEDICARE PTAN