Costine, Michael A
Costine, Michael A is an individual health care provider with primary practice located at 5363 Balboa Blvd Ste 445 , Encino CA 91316-2844. 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. Costine, Michael A can be contacted via phone (818) 946-8424.Contact Information
Primary practice address
5363 Balboa Blvd Ste 445
Encino CA 91316-2844
Phone: (818) 946-8424
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1851940571 |
|---|---|
| LBN Legal business name | Costine, Michael A |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 5th, 2019 |
| Last updated | Oct 27th, 2023 - about 2 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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