Provider Demographics
NPI:1922296649
Name:CASTEEL, ALBERTA B
Entity Type:Individual
Prefix:MRS
First Name:ALBERTA
Middle Name:B
Last Name:CASTEEL
Suffix:
Gender:F
Credentials:
Other - Prefix:MISS
Other - First Name:ALBERTA
Other - Middle Name:B
Other - Last Name:LORE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:159 MCGUIRE RD
Mailing Address - Street 2:
Mailing Address - City:WHEELERSBURG
Mailing Address - State:OH
Mailing Address - Zip Code:45694-8776
Mailing Address - Country:US
Mailing Address - Phone:740-574-4933
Mailing Address - Fax:
Practice Address - Street 1:159 MCGUIRE RD
Practice Address - Street 2:
Practice Address - City:WHEELERSBURG
Practice Address - State:OH
Practice Address - Zip Code:45694-8776
Practice Address - Country:US
Practice Address - Phone:740-574-4933
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-10-09
Last Update Date:2007-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH2120010171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor