Costantino, Peter Anthony

Costantino, Peter Anthony is an sole proprietor health care provider with primary practice located at 29856 Schoenherr Rd Suite 2, Warren MI 48088-3600. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Costantino, Peter Anthony can be contacted via phone (586) 443-5000.

Contact Information

Primary practice address
29856 Schoenherr Rd Suite 2 Warren MI 48088-3600
Fax: (586) 443-5002
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 2301005635 Michigan

Profile Details

NPI number 1124157623
LBN Legal business name Costantino, Peter Anthony
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 2nd, 2007
Last updated Jul 8th, 2007 - about 17 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124157623 NPPES
Michigan Other 950E053280 BCBSM

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