Costa, Karen Ann

Costa, Karen Ann is an sole proprietor health care provider with primary practice located at 631 N Broad Street Ext , Grove City PA 16127-4603. She recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Costa, Karen Ann can be contacted via phone (724) 450-7246.

Contact Information

Primary practice address
631 N Broad Street Ext Grove City PA 16127-4603
Phone: (724) 450-7246
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X OS017038 Pennsylvania

Profile Details

NPI number 1740579283
LBN Legal business name Costa, Karen Ann
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 5th, 2011
Last updated Sep 1st, 2020 - about 4 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 1740579283 NPPES
Pennsylvania MEDICAID 102980620

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