Costello, Audra

Costello, Audra is an individual health care provider with primary practice located at 128 Union St Ste 204, New Bedford MA 02740. She recently has only one registered license in Other Service Providers / Health Educator, which is considered as her primary health care specialty. Costello, Audra can be contacted via phone (508) 996-9622.

Contact Information

Primary practice address
128 Union St Ste 204 New Bedford MA 02740
Phone: (508) 996-9622
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Health Educator 174H00000X

Profile Details

NPI number 1366904005
LBN Legal business name Costello, Audra
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 2nd, 2019
Last updated Apr 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.

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