Costabile, Raymond A.

Costabile, Raymond A. is an individual health care provider with primary practice located at 500 Ray C Hunt Dr Fl 3 , Charlottesville VA 22903-2981. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Costabile, Raymond A. can be contacted via phone (434) 924-2224.

Contact Information

Primary practice address
500 Ray C Hunt Dr Fl 3 Charlottesville VA 22903-2981
Phone: (434) 924-2224
Fax: (434) 982-3652
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 0101047153 Virginia

Profile Details

NPI number 1386713907
LBN Legal business name Costabile, Raymond A.
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2006
Last updated Mar 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386713907 NPPES
Virginia MEDICAID 010072964

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