Costello, Louis E
Costello, Louis E is an sole proprietor health care provider with primary practice located at 190 Civic Cir Ste 250 , Lewisville TX 75067-3648. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Costello, Louis E can be contacted via phone (972) 436-8591.Contact Information
Primary practice address
190 Civic Cir Ste 250
Lewisville TX 75067-3648
Phone: (972) 436-8591
Fax: (972) 221-6609
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | J1950 | Texas |
Profile Details
| NPI number | 1184720799 |
|---|---|
| LBN Legal business name | Costello, Louis E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 15th, 2006 |
| Last updated | Sep 28th, 2009 - about 15 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 | 1184720799 | NPPES |
| Texas | MEDICAID | 113825702 |
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