Craig Costello Dc Inc in Erie - Chiropractor
Craig Costello Dc Inc - NPI 1619007390
Craig Costello Dc Inc is a Chiropractor in Erie, Pennsylvania. Craig Costello Dc Inc practices all healthcare services and medical treatments related to Chiropractor. The NPI Number for Craig Costello Dc Inc is 1619007390. The last update date is 2007-10-15.
Craig Costello Dc Inc's current location address is 2556 W 12th St, Erie, Pennsylvania. You can contact this provider via phone number 8148359020 and fax number 8148369111. The mailing address for Craig Costello Dc Inc is 2556 W 12th St, Erie, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Craig Costello Dc Inc |
|---|---|
| Address | 2556 W 12th St, Erie, Pennsylvania |
| Phone Number | 8148359020 |
| Fax Number | 8148369111 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Costello Craig |
| Credentials | D.C. |
| Telephone Number | 8148359020 |
NPI Number Detail
| NPI Number | 1619007390 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2007-10-15 |
Provider Mailing Address Detail
| Address | 2556 W 12th St |
|---|---|
| City | Erie |
| State | Pennsylvania (PA) |
| Post Code | 165054508 |
| Phone Number | 8148359020 |
| Fax Number | 8148369111 |
Provider's Primary Taxonomy Detail
| Speciality | Chiropractor |
|---|---|
| Taxonomy | 111N00000X |
| Licence No | DC005032L |
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Definition: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its inte |
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What is the unique provider identifier assigned to Craig Costello Dc Inc?
The Craig Costello Dc Inc has been issued the NPI (National Provider Identifier) 1619007390 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Craig Costello Dc Inc located?
The Craig Costello Dc Inc is located at 2556 W 12Th St, Erie, PA 165054508.
What is the Craig Costello Dc Inc's specialty and taxonomy code?
The Craig Costello Dc Inc's specialty is Chiropractor, and the corresponding taxonomy code is 111N00000X.
On what date did the Craig Costello Dc Inc receive the assignment of its 1619007390 from the Centers for Medicare & Medicaid Services?
The Craig Costello Dc Inc was issued its 1619007390 by the Centers for Medicare & Medicaid Services on 2007-03-06.
When was the information regarding Craig Costello Dc Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Craig Costello Dc Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-10-15.