Costello, Michael

Costello, Michael is an individual health care provider with primary practice located at 4967 Crooks Rd Suite 120, Troy MI 48098-5801. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Costello, Michael can be contacted via phone (248) 952-1601.

Contact Information

Primary practice address
4967 Crooks Rd Suite 120 Troy MI 48098-5801
Phone: (248) 952-1601
Fax: (248) 952-5781
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 5601003192 Michigan

Profile Details

NPI number 1083609192
LBN Legal business name Costello, Michael
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 14th, 2005
Last updated Jul 17th, 2012 - about 13 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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