Costello, Michelle Adele

Costello, Michelle Adele is an individual health care provider with primary practice located at 706 Eureka St , Weatherford TX 76086-6520. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Costello, Michelle Adele can be contacted via phone (817) 599-7373.

Contact Information

Primary practice address
706 Eureka St Weatherford TX 76086-6520
Phone: (817) 599-7373
Fax: (817) 596-8889
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA00445 Texas

Profile Details

NPI number 1528238524
LBN Legal business name Costello, Michelle Adele
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2008
Last updated Nov 19th, 2019 - about 5 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 1528238524 NPPES
Texas Other TXB147264 MEDICARE FLOWER MOUND

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