Costa, Jillene

Costa, Jillene is an individual health care provider with primary practice located at 2907 Chanticleer Avenue , Santa Cruz CA 95065. She recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as her primary health care specialty. Costa, Jillene can be contacted via phone (831) 477-2325.

Contact Information

Primary practice address
2907 Chanticleer Avenue Santa Cruz CA 95065
Phone: (831) 477-2325
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X E4785 California

Profile Details

NPI number 1033378468
LBN Legal business name Costa, Jillene
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 2nd, 2008
Last updated Dec 29th, 2011 - about 14 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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