Costello, Alfred Thomas

Costello, Alfred Thomas is an individual health care provider with primary practice located at 21925 Greater Mack Ave , Saint Clair Shores MI 48080-2420. He recently has only one registered license in Speech, Language and Hearing Service Providers / Hearing Instrument Specialist, which is considered as his primary health care specialty. Costello, Alfred Thomas can be contacted via phone (586) 776-5277.

Contact Information

Primary practice address
21925 Greater Mack Ave Saint Clair Shores MI 48080-2420
Phone: (586) 776-5277
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Hearing Instrument Specialist 237700000X 3501004781

Profile Details

NPI number 1174188437
LBN Legal business name Costello, Alfred Thomas
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 2nd, 2019
Last updated May 2nd, 2019 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1174188437 NPPES
Michigan Other 1891845335 NPI

Popular Providers