Jeanne E Castellucci, DC AND CCSP
Individual provider Active NPI Chiropractor · Darien, CT
NPI 1174719637 · NPPES record last updated Sep 19, 2007
Key facts
- NPI
- 1174719637
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Chiropractor 111N00000X
- License
- 001145 (CT)
- Practice address
- 747 Post Rd
Darien, CT 06820 - Phone
- (203) 855-0107
- NPI assigned
- Sep 19, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001145 | CT | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 001145 | CT | Yes |
Addresses
Primary practice location
747 Post Rd
Darien, CT 06820
Mailing address
PO Box 92
Darien, CT 06820
Phone (203) 855-0107
Other providers in Darien, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 19, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.