Costello, Paul Mclane
Costello, Paul Mclane is an individual health care provider with primary practice located at 89 Main St , Essex Jct VT 05452-3207. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Costello, Paul Mclane can be contacted via phone (802) 879-6556.Contact Information
Primary practice address
89 Main St
Essex Jct VT 05452-3207
Phone: (802) 879-6556
Fax: (802) 872-8021
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 42-0006459 | Vermont |
Profile Details
| NPI number | 1184612509 |
|---|---|
| LBN Legal business name | Costello, Paul Mclane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 10th, 2005 |
| Last updated | Oct 11th, 2011 - about 15 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 | 1184612509 | NPPES |
| Vermont | MEDICAID | 5629 |
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