Individual provider · Type 1 NPI

Ian Joseph Costello

Chiropractor · Fairbanks, AK

NPI number 1912690355 Active

Practice location

4001 Geist Rd
Fairbanks, AK 99709-3569

Fax (907) 331-0440

Specialties and licenses

TaxonomyCodeLicense
Chiropractor Primary 111N00000X204821 (AK)

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.

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About NPI 1912690355

Ian Joseph Costello's National Provider Identifier is 1912690355, issued on May 31, 2023. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Fairbanks, AK. The record was last updated on May 31, 2023.