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:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1386713907 | NPPES |
| Virginia | MEDICAID | 010072964 |
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