Costleigh, Brian J.

Costleigh, Brian J. is an sole proprietor health care provider with primary practice located at 1344 S Apollo Blvd Ste 103 , Melbourne FL 32901-3183. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Costleigh, Brian J. can be contacted via phone (321) 441-8915.

Contact Information

Primary practice address
1344 S Apollo Blvd Ste 103 Melbourne FL 32901-3183
Phone: (321) 441-8915
Fax: (321) 294-4107
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X C1-0004563 Delaware

Profile Details

NPI number 1932101144
LBN Legal business name Costleigh, Brian J.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 1st, 2005
Last updated Jun 6th, 2024 - about last year

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 1932101144 NPPES
Other P00293179 RRMEDICARE
MEDICAID 0000675901 RRMEDICARE

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