Costello, John Milton
Costello, John Milton is an individual health care provider with primary practice located at 125 N Franklin Dr Suite 1, Washington PA 15301-5892. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Costello, John Milton can be contacted via phone (724) 225-6500.Contact Information
Primary practice address
125 N Franklin Dr Suite 1
Washington PA 15301-5892
Phone: (724) 225-6500
Fax: (724) 229-2170
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD036851E | Pennsylvania |
Profile Details
| NPI number | 1881658185 |
|---|---|
| LBN Legal business name | Costello, John Milton |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 13th, 2006 |
| Last updated | Jun 8th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881658185 | NPPES |
| Other | 0162212 | BS | |
| MEDICAID | 0011237940001 | BS |
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