Provider Demographics
NPI:1740274356
Name:CASTEEL, SCOTT B (DC)
Entity type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:B
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 1:110 N MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DU BOIS
Mailing Address - State:PA
Mailing Address - Zip Code:15801-1811
Mailing Address - Country:US
Mailing Address - Phone:814-371-8686
Mailing Address - Fax:814-371-8618
Practice Address - Street 1:110 N MAIN ST
Practice Address - Street 2:
Practice Address - City:DU BOIS
Practice Address - State:PA
Practice Address - Zip Code:15801-1811
Practice Address - Country:US
Practice Address - Phone:814-371-8686
Practice Address - Fax:814-371-8618
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-09-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADC003214L111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0010600680002Medicaid
PA0010600680002Medicaid
PA422127Medicare ID - Type UnspecifiedINDIVIDUAL NUMBER
PAW06511Medicare UPIN