Costa, Jose M.L.

Costa, Jose M.L. is an individual health care provider with primary practice located at 100 Hospital Ave , Du Bois PA 15801-1440. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, which is considered as his primary health care specialty. Costa, Jose M.L. can be contacted via phone (814) 371-2200.

Contact Information

Primary practice address
100 Hospital Ave Du Bois PA 15801-1440
Phone: (814) 371-2200
Fax: (814) 375-4232
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD-021333-E Pennsylvania

Profile Details

NPI number 1336156736
LBN Legal business name Costa, Jose M.L.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1336156736 NPPES
Pennsylvania MEDICAID 0009682580002

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