DR. DAMIEN PETER CIASULLO DC NPI 1871505792

NPI Information

NPI: 1871505792
Provider Name: DR. DAMIEN PETER CIASULLO, DC
Classification: Chiropractor - 111N00000X
Entity Type: Individual
Address:
6809 GERMANTOWN AVE
PHILADELPHIA, PA
ZIP 19119
Phone: (215) 844-4400
Get Directions

DR. Damien Peter Ciasullo, DC is a chiropractor in Philadelphia, PA. The provider is 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. DR. Damien Peter Ciasullo, DC NPI is 1871505792. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

6809 GERMANTOWN AVE
PHILADELPHIA, PA
ZIP 19119-112
Phone: (215) 844-4400
Fax: (215) 844-4070

The enumeration date for this NPI number is 8/12/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	111N00000X	Chiropractor		008019	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	047183UN5	MEDICARE ID-TYPE UNSPECIFIED	PENNSYLVANIA	MEDICARE #
2	U84664	MEDICARE UPIN	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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