CRAIG COSTELLO DC INC (NPI# 1619007390) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619007390 |
| Entity Type | Organization |
| Organization Name | CRAIG COSTELLO DC INC |
| Practice Address |
2556 W 12th St Erie PA 16505-4508 |
| Practice Telephone | 8148359020 |
| Practice Fax Number | 8148369111 |
| Mailing Telephone | 8148359020 |
| Mailing Fax Number | 8148369111 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2007-10-15 |
| Authorized Official Name | DR. CRAIG COSTELLO (OWNER) |
| Authorized Official Telephone | 8148359020 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | DC005032L | PA | Chiropractic Providers |
| Street Address |
2556 W 12TH ST |
| City | ERIE |
| State | PA |
| Zip Code | 16505-4508 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316019698 | Craig C Costello | Chiropractor | 2556 W 12th St, Erie, PA 16505-4508 | 2006-11-14 |
| 1184819062 | Jared J. Scott, D.c., P.C. | Chiropractor | 2556 W 12th St, Erie, PA 16505-4508 | 2007-09-13 |
| 1801096649 | Jared J Scott | Chiropractor | 2556 W 12th St, Erie, PA 16505-4508 | 2007-07-19 |
| 1679628408 | Presque Isle Family Medicine | Family Medicine | 2556 W 12th St, Erie, PA 16505-4508 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790275634 | Megan Elizabeth Rahill | Registered Nurse | 610 Seminole Dr, Erie, PA 16505 | 2018-05-16 |
| 1740784222 | Tracy Zong Cheng | Student in an Organized Health Care Education/Training Program | 1645 W 8th Street, Suite 200, Erie, PA 16505 | 2018-03-20 |
| 1073067724 | Epeople Health Care Inc | Home Health | 2133 W 8th St, Erie, PA 16505 | 2016-08-11 |
| 1629424411 | Kimberly Roderick | Registered Nurse | 1324 S. Shore Drive Apt. G07, Erie, PA 16505 | 2016-05-11 |
| 1437516432 | April Vogeley | Counselor | 1004 Farrell Road, Erie, PA 16505 | 2016-01-21 |
| 1538563499 | Laurence William Veihdeffer | Dentist | 2021 W 8 St., Erie, PA 16505 | 2014-10-21 |
| 1255617908 | Shannon Renee Luke | Licensed Practical Nurse | 1416 Custer Dr., Erie, PA 16505 | 2011-10-26 |
| 1699904227 | William Jackson Koehler | Social Worker | 2230 W 8th St Ste 2, Erie, PA 16505 | 2009-07-02 |
| 1972747657 | Kristen Marie Huber | Counselor | 823 Filmore Ave, Erie, PA 16505 | 2009-04-27 |
| 1851556351 | Stephanie Lynn Miller | Technician, Other | 2564 West 12th St., Erie, PA 16505 | 2008-07-23 |
| Find all providers in zip 16505 | ||||
| Taxonomy Code | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| 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 interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740831304 | Tori Elizabeth Niggel | Chiropractor | 2501 Palermo Dr Ste C, Erie, PA 16506-7210 | 2019-09-25 |
| 1972153799 | Brynn Lay | Chiropractor | 615 Briggs St., Ste. B, Erie, CO 80516 | 2019-09-13 |
| 1194385336 | Joshua Conrad Briggs | Chiropractor | 2700 W 21st St Ste 8, Erie, PA 16506-6916 | 2019-06-19 |
| 1689230815 | Amelia Marie Gray | Chiropractor | 4864 Buffalo Rd, Erie, PA 16510-2394 | 2019-05-13 |
| 1356844807 | Koziarski Chiropractic, LLC | Chiropractor | 1535 W 8th St Ste A-5, Erie, PA 16505-5005 | 2018-03-12 |
| 1962916155 | Joseph Michael Moon | Chiropractor | 2921 W 26th St, Erie, PA 16506 | 2017-11-27 |
| 1770956575 | Pleasantview Chiropractic, LLC | Chiropractor | 715 E 37th St, Erie, PA 16504-1727 | 2015-11-03 |
| 1811309610 | Dr. Jason Cardinali | Chiropractor | 100 Pennbriar Dr, Erie, PA 16509-6610 | 2014-05-28 |
| 1316296015 | Joint Chiropractic, LLC | Chiropractor | 152 W 12th St, Erie, PA 16501-1725 | 2012-09-10 |
| 1881962009 | Justin K. Cole | Chiropractor | 515 Briggs St, Suite A, Erie, CO 80516-0196 | 2011-12-02 |
| Find all providers in ERIE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.