Costello, Richard

Costello, Richard is an individual health care provider with primary practice located at 306 Westwood Ave Suite 401, High Point NC 27262-4341. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Costello, Richard can be contacted via phone (336) 885-6168.

Contact Information

Primary practice address
306 Westwood Ave Suite 401 High Point NC 27262-4341
Phone: (336) 885-6168
Fax: (336) 885-6402
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 102803 North Carolina

Profile Details

NPI number 1922069673
LBN Legal business name Costello, Richard
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 31st, 2006
Last updated Oct 4th, 2016 - about 8 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 1922069673 NPPES
North Carolina Other 970016973 RR MEDICARE

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