Costello, Daniel G

Costello, Daniel G is an individual health care provider with primary practice located at 1526 Cole Blvd Ste 300 , Lakewood CO 80401-3410. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Medical. Physician Assistants & Advanced Practice Nursing Providers / Medical is his primary health care specialty. Costello, Daniel G can be contacted via phone (303) 379-9371.

Contact Information

Primary practice address
1526 Cole Blvd Ste 300 Lakewood CO 80401-3410
Phone: (303) 379-9371
Fax: (303) 423-7004
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA2004-0044 New Mexico
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 2300 Colorado
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 135562 Alaska

Profile Details

NPI number 1063415156
LBN Legal business name Costello, Daniel G
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 23rd, 2005
Last updated Aug 9th, 2021 - about 3 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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Identifiers

StateTypeNumberIssuer
All States NPI 1063415156 NPPES
Colorado MEDICAID 97259365
Colorado MEDICAID 1687798

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