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
Phone: (614) 722-4329
Fax: (614) 722-4380
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1427518059 | NPPES |
Ohio | MEDICAID | 0345855 |
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