Costrini, Anthony Michael
Costrini, Anthony Michael is an individual health care provider with primary practice located at 55 Islanders Retreat , Savannah GA 31411-2941. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Costrini, Anthony Michael can be contacted via phone (912) 429-6054.Contact Information
Primary practice address
55 Islanders Retreat
Savannah GA 31411-2941
Phone: (912) 429-6054
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | 014476 | Georgia |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 014476 | Georgia |
Profile Details
| NPI number | 1194743971 |
|---|---|
| LBN Legal business name | Costrini, Anthony Michael |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 18th, 2006 |
| Last updated | Jan 16th, 2020 - about 5 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 | 1194743971 | NPPES |
| Georgia | Other | C196265 | SOUTH CAROLINA MEDICAID |
| Georgia | MEDICAID | 000148519L | SOUTH CAROLINA MEDICAID |
| Georgia | Other | 409112018 | SOUTH CAROLINA MEDICAID |
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