Costello, Mary K
Costello, Mary K is an individual health care provider with primary practice located at 1 Perkins Sq , Akron OH 44308-1063. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine, which is considered as her primary health care specialty. Costello, Mary K can be contacted via phone (330) 543-8452.Contact Information
Primary practice address
1 Perkins Sq
Akron OH 44308-1063
Phone: (330) 543-8452
Fax: (330) 543-3761
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Emergency Medicine | 2080P0204X | 35-071206 | Ohio |
Profile Details
| NPI number | 1841215399 |
|---|---|
| LBN Legal business name | Costello, Mary K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1841215399 | NPPES |
| Ohio | MEDICAID | 2063387 |
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