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:
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Health care specialties

SpecialtyCodeLicense #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 13 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 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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