Costello, Mario
Costello, Mario is an individual health care provider with primary practice located at 2795 Front St Suite A, Cuyahoga Falls OH 44221-1900. He recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as his primary health care specialty. Costello, Mario can be contacted via phone (330) 945-7100.Contact Information
Primary practice address
2795 Front St Suite A
Cuyahoga Falls OH 44221-1900
Phone: (330) 945-7100
Fax: (330) 945-4305
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | C.1300466-TRNE | Ohio |
Profile Details
| NPI number | 1902230618 |
|---|---|
| LBN Legal business name | Costello, Mario |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 29th, 2013 |
| Last updated | Aug 29th, 2013 - about 11 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 | 1902230618 | NPPES |
| Ohio | MEDICAID | 10024 |
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