Individual
DR. RONALD ROBERT CASTELLUCCI
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
3754 BREVARD RD, SUITE 114, HORSE SHOE, NC 28742-8752
(828) 890-8181
Mailing address
3754 BREVARD RD, SUITE 114, HORSE SHOE, NC 28742-8752
(828) 890-8181
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2224
SC
111N00000X
Chiropractor
Primary
2368
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0827H
BLUE CROSS BLUE SHIELD
NC
Enumeration date
02/07/2006
Last updated
07/08/2007
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