Costa, Megan Christine

Costa, Megan Christine is an individual health care provider with primary practice located at 4921 Parkview Pl Div Surg Plastics, Ste 6G, Saint Louis MO 63110-1032. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Gerontology, which is considered as her primary health care specialty. Costa, Megan Christine can be contacted via phone (314) 362-7388.

Contact Information

Primary practice address
4921 Parkview Pl Div Surg Plastics, Ste 6G Saint Louis MO 63110-1032
Fax: (314) 367-0225
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Gerontology 363LG0600X 2020033731 Missouri

Profile Details

NPI number 1669078861
LBN Legal business name Costa, Megan Christine
Credentials ACNP
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2020
Last updated Nov 15th, 2021 - 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 1669078861 NPPES
Missouri MEDICAID 420091766

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