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:
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Health care specialties

SpecialtyCodeLicense #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 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881658185 NPPES
Other 0162212 BS
MEDICAID 0011237940001 BS

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