Costello, Louis J
Costello, Louis J is an sole proprietor health care provider with primary practice located at 325 Ushers Rd , Ballston Lake NY 12019-1520. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Costello, Louis J can be contacted via phone (518) 877-0234.Contact Information
Primary practice address
325 Ushers Rd
Ballston Lake NY 12019-1520
Phone: (518) 877-0234
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Sports Physician | 111NS0005X | X005314 | New York |
Profile Details
| NPI number | 1932279023 |
|---|---|
| LBN Legal business name | Costello, Louis J |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2006 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1932279023 | NPPES |
| New York | Other | F10034971 | CDPHP |
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