Costello, Joseph J.
Costello, Joseph J. is an sole proprietor health care provider with primary practice located at 45 N Main St Suite 1, Pittston PA 18640-1915. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Costello, Joseph J. can be contacted via phone (570) 654-4641.Contact Information
Primary practice address
45 N Main St Suite 1
Pittston PA 18640-1915
Phone: (570) 654-4641
Fax: (570) 654-4642
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Podiatric Medicine & Surgery Service Providers / Podiatrist | 213E00000X | SC003054L | Pennsylvania |
Profile Details
| NPI number | 1639148216 |
|---|---|
| LBN Legal business name | Costello, Joseph J. |
| Credentials | Doctor of Podiatric Medicine (DPM) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 16th, 2006 |
| Last updated | May 3rd, 2012 - about 12 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 | 1639148216 | NPPES |
| Pennsylvania | Other | 3610 | GEISINGER HEALTH PLAN |
| Pennsylvania | MEDICAID | 0010811390003 | GEISINGER HEALTH PLAN |
| Pennsylvania | Other | P00002482 | GEISINGER HEALTH PLAN |
| Pennsylvania | Other | 475671 | GEISINGER HEALTH PLAN |
| Pennsylvania | Other | 817167 | GEISINGER HEALTH PLAN |
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