Costello, Brian John
Costello, Brian John is an individual health care provider with primary practice located at 2405 Shadelands Dr Ste 300 , Walnut Creek CA 94598-5906. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Costello, Brian John can be contacted via phone (925) 939-8585.Contact Information
Primary practice address
2405 Shadelands Dr Ste 300
Walnut Creek CA 94598-5906
Phone: (925) 939-8585
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA15532 | California |
Profile Details
| NPI number | 1396833257 |
|---|---|
| LBN Legal business name | Costello, Brian John |
| Credentials | PHYSICIAN ASSISTANT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Jan 23rd, 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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