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
Phone: (586) 443-5000
Fax: (586) 443-5002
Website:
Health care specialties
| Specialty | Code | License # | 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 19 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 | 1124157623 | NPPES |
| Michigan | Other | 950E053280 | BCBSM |
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