Costales, Connor
Costales, Connor is an sole proprietor health care provider with primary practice located at 50 Beharrell St Ste D , Concord MA 01742-1750. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports, which is considered as his primary health care specialty. Costales, Connor can be contacted via phone (617) 932-1027.Contact Information
Primary practice address
50 Beharrell St Ste D
Concord MA 01742-1750
Phone: (617) 932-1027
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports | 2251S0007X |
Profile Details
| NPI number | 1053172072 |
|---|---|
| LBN Legal business name | Costales, Connor |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 17th, 2024 |
| Last updated | Jan 17th, 2024 - about 8 months 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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