Costa, Robert Ty

Costa, Robert Ty is an individual health care provider with primary practice located at 1904 Richland Ave , Ceres CA 95307-4562. He recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as his primary health care specialty. Costa, Robert Ty can be contacted via phone (209) 541-2121.

Contact Information

Primary practice address
1904 Richland Ave Ceres CA 95307-4562
Phone: (209) 541-2121
Fax: (209) 541-2083
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X D6566716 California

Profile Details

NPI number 1639514102
LBN Legal business name Costa, Robert Ty
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2013
Last updated Mar 12th, 2019 - about 5 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.

Request for update

Popular Providers