Costello, James

Costello, James is an individual health care provider with primary practice located at 4120 Prescott Rd , Modesto CA 95356-8418. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Costello, James can be contacted via phone (209) 544-7300.

Contact Information

Primary practice address
4120 Prescott Rd Modesto CA 95356-8418
Fax: (209) 544-7323
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X PA10823 California

Profile Details

NPI number 1801883236
LBN Legal business name Costello, James
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 30th, 2005
Last updated Mar 7th, 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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