Costello, Joanna Michele

Costello, Joanna Michele is an individual health care provider with primary practice located at 200 Lothrop St Room 3950 Chp Cmt, Pittsburgh PA 15213-2546. She recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Diagnostic Radiology, Allopathic & Osteopathic Physicians / Body Imaging. Allopathic & Osteopathic Physicians / Diagnostic Radiology is her primary health care specialty. Costello, Joanna Michele can be contacted via phone (412) 647-3553.

Contact Information

Primary practice address
200 Lothrop St Room 3950 Chp Cmt Pittsburgh PA 15213-2546
Phone: (412) 647-3553
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD041701E Pennsylvania
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X MD041701E Pennsylvania
Allopathic & Osteopathic Physicians / Body Imaging 2085B0100X MD041701E Pennsylvania

Profile Details

NPI number 1295707867
LBN Legal business name Costello, Joanna Michele
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2006
Last updated Mar 22nd, 2010 - about 14 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 1295707867 NPPES
Pennsylvania MEDICAID 001209549

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