Costabile, Thomas Anthony

Costabile, Thomas Anthony is an individual health care provider with primary practice located at 1816 Martin Luther King Jr Blvd , Chapel Hill NC 27514-7415. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Costabile, Thomas Anthony can be contacted via phone (919) 969-9644.

Contact Information

Primary practice address
1816 Martin Luther King Jr Blvd Chapel Hill NC 27514-7415
Phone: (919) 969-9644
Fax: (919) 969-9774
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 1016 North Carolina

Profile Details

NPI number 1538247549
LBN Legal business name Costabile, Thomas Anthony
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 1st, 2006
Last updated Jul 8th, 2007 - about 18 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 1538247549 NPPES
North Carolina MEDICAID 8909188

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