Costa, John J
Costa, John J is an individual health care provider with primary practice located at 9280 W Sunset Rd , Las Vegas NV 89148-4860. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Costa, John J can be contacted via phone (702) 535-5464.Contact Information
Primary practice address
9280 W Sunset Rd
Las Vegas NV 89148-4860
Phone: (702) 535-5464
Fax: (702) 534-5465
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 35-06-9453 | Ohio |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 22723 | Nevada |
Profile Details
| NPI number | 1043219041 |
|---|---|
| LBN Legal business name | Costa, John J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Sep 12th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043219041 | NPPES |
| Nevada | Other | 22723 | STATE LICENSE |
| Nevada | MEDICAID | 2197313 | STATE LICENSE |
| Nevada | Other | 311211539033 | STATE LICENSE |
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