Costello, Mindy

Costello, Mindy is an sole proprietor health care provider with primary practice located at 4601 Dale Rd , Modesto CA 95356-9718. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / General Care, which is considered as her primary health care specialty. Costello, Mindy can be contacted via phone (209) 735-7591.

Contact Information

Primary practice address
4601 Dale Rd Modesto CA 95356-9718
Phone: (209) 735-7591
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / General Care 2278G1100X 29664 California

Profile Details

NPI number 1053877597
LBN Legal business name Costello, Mindy
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 20th, 2019
Last updated Feb 20th, 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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