Costa, Dennis J.
Costa, Dennis J. is an individual health care provider with primary practice located at 2400 Pine Ridge Blvd , Wausau WI 54401. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Costa, Dennis J. can be contacted via phone (715) 847-2022.Contact Information
Primary practice address
2400 Pine Ridge Blvd
Wausau WI 54401
Phone: (715) 847-2022
Fax: (715) 847-2775
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 1724-850 | Wisconsin |
Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 49844 | Wisconsin |
Profile Details
NPI number | 1477599603 |
---|---|
LBN Legal business name | Costa, Dennis J. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 22nd, 2006 |
Last updated | Jan 4th, 2021 - about 3 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.
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