Costello, Lisa

Costello, Lisa is an sole proprietor health care provider with primary practice located at 326 N. Ferry St , Grand Haven MI 49417. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Costello, Lisa can be contacted via phone (616) 846-2701.

Contact Information

Primary practice address
326 N. Ferry St Grand Haven MI 49417
Phone: (616) 846-2701
Fax: (616) 246-8009
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Hygienist 124Q00000X 2902011931 Michigan

Profile Details

NPI number 1760855225
LBN Legal business name Costello, Lisa
Credentials DENTAL HYGIENIST
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 5th, 2015
Last updated Nov 5th, 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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