Costales, Jennifer M
Costales, Jennifer M is an sole proprietor health care provider with primary practice located at 100 N Walnut St , Mechanicsburg PA 17055-3364. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Costales, Jennifer M can be contacted via phone (717) 628-3693.Contact Information
Primary practice address
100 N Walnut St
Mechanicsburg PA 17055-3364
Phone: (717) 628-3693
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPT002590 | Georgia |
| Eye and Vision Services Providers / Optometrist | 152W00000X | OEG002338 | Pennsylvania |
Profile Details
| NPI number | 1265744379 |
|---|---|
| LBN Legal business name | Costales, Jennifer M |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 6th, 2010 |
| Last updated | Sep 20th, 2023 - about last year |
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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