Costilow, Courtney Jean

Costilow, Courtney Jean is an sole proprietor health care provider with primary practice located at 3410 W Tacon St , Tampa FL 33629-7927. She recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic, which is considered as her primary health care specialty. Costilow, Courtney Jean can be contacted via phone (813) 802-8502.

Contact Information

Primary practice address
3410 W Tacon St Tampa FL 33629-7927
Phone: (813) 802-8502
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic 246ZE0600X
Technologists, Technicians & Other Technical Service Providers / Electroneurodiagnostic 246ZE0600X 4897

Profile Details

NPI number 1588256028
LBN Legal business name Costilow, Courtney Jean
Credentials R.EEGT.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 5th, 2021
Last updated Feb 5th, 2021 - about 3 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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