Provider Demographics
NPI:1144988452
Name:CASTEEL, CHLOE (DC)
Entity type:Individual
Prefix:
First Name:CHLOE
Middle Name:
Last Name:CASTEEL
Suffix:
Gender:F
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?:No
Enumeration Date:2021-12-03
Last Update Date:2021-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAAJ011311111N00000X
PADC011689111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor