Costello, James Michael

Costello, James Michael is an sole proprietor health care provider with primary practice located at 830 Chalkstone Ave , Providence RI 02908-4734. He recently has only one registered license in Nursing Service Providers / Psychiatric/Mental Health, which is considered as his primary health care specialty. Costello, James Michael can be contacted via phone (401) 273-7100.

Contact Information

Primary practice address
830 Chalkstone Ave Providence RI 02908-4734
Phone: (401) 273-7100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Psychiatric/Mental Health 163WP0808X 34274 Rhode Island

Profile Details

NPI number 1851711717
LBN Legal business name Costello, James Michael
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 18th, 2014
Last updated Apr 18th, 2014 - about 10 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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