Castellan, Lee W
Castellan, Lee W is an sole proprietor health care provider with primary practice located at 35 Hickory Ct , Staten Island NY 10309-1632. He recently has 2 registered licenses in different health care specialties including Chiropractic Providers / Chiropractor, Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic. Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic is his primary health care specialty. Castellan, Lee W can be contacted via phone (718) 605-7896.Contact Information
Primary practice address
35 Hickory Ct
Staten Island NY 10309-1632
Phone: (718) 605-7896
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Chiropractic Providers / Chiropractor | 111N00000X | 010730 | New York |
Chiropractic Providers / Chiropractor | 111N00000X | 38MC00665200 | New Jersey |
Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic | 246ZE0600X |
Profile Details
NPI number | 1366442311 |
---|---|
LBN Legal business name | Castellan, Lee W |
Credentials | D.C., CNIM |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Jul 29th, 2005 |
Last updated | Mar 23rd, 2011 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1366442311 | NPPES |
New York | Other | 010730 | STATE LICENSE NUMBER |
New York | Other | 38MC00665200 | STATE LICENSE NUMBER |
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