Costello, Marcella Louise

Costello, Marcella Louise is an individual health care provider with primary practice located at 700 Childrens Dr , Columbus OH 43205-2639. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine. Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine is her primary health care specialty. Costello, Marcella Louise can be contacted via phone (614) 722-4329.

Contact Information

Primary practice address
700 Childrens Dr Columbus OH 43205-2639
Fax: (614) 722-4380
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 34015691 Ohio
Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine 2080P0204X 34015691 Ohio

Profile Details

NPI number 1427518059
LBN Legal business name Costello, Marcella Louise
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 20th, 2019
Last updated May 5th, 2022 - about 2 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 1427518059 NPPES
Ohio MEDICAID 0345855

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