Costello, Mary Jo

Costello, Mary Jo is an individual health care provider with primary practice located at 269 Newburn Dr , Pittsburgh PA 15216-1213. She recently has only one registered license in Dietary & Nutritional Service Providers / Dietitian, Registered, which is considered as her primary health care specialty. Costello, Mary Jo can be contacted via phone (412) 310-0720.

Contact Information

Primary practice address
269 Newburn Dr Pittsburgh PA 15216-1213
Phone: (412) 310-0720
Fax: (717) 616-9251
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X DN002628 Pennsylvania

Profile Details

NPI number 1932258142
LBN Legal business name Costello, Mary Jo
Credentials Registered Dietitian (RD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 9th, 2007
Last updated Jul 8th, 2007 - about 17 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 1932258142 NPPES
Pennsylvania Other 630384 AMER DIETETIC ASSOC

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