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
Phone: (314) 362-7388
Fax: (314) 367-0225
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1669078861 | NPPES |
Missouri | MEDICAID | 420091766 |
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