Joseph Patrick Costello in O Fallon - Specialist
Joseph Patrick Costello - NPI 1073607651
Joseph Patrick Costello is a Specialist in O Fallon, Illinois. Joseph Patrick Costello practices all healthcare services and medical treatments related to Specialist. The NPI Number for Joseph Patrick Costello is 1073607651. The last update date is 2011-11-30.
Joseph Patrick Costello's current location address is Po Box 217, O Fallon, Illinois. You can contact this provider via phone number 6182336685 and fax number 6182336616. The mailing address for Joseph Patrick Costello is Po Box 217, O Fallon, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Joseph Patrick Costello |
|---|---|
| Address | Po Box 217, O Fallon, Illinois |
| Phone Number | 6182336685 |
| Fax Number | 6182336616 |
| Sole Proprietor | Y |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1073607651 |
|---|---|
| Provider Enumeration Date | 2006-10-03 |
| Last Updated Date | 2011-11-30 |
Provider Mailing Address Detail
| Address | Po Box 217 |
|---|---|
| City | O Fallon |
| State | Illinois (IL) |
| Post Code | 622690217 |
| Phone Number | 6182336685 |
| Fax Number | 6182336616 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | 36079559 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 432064512 | IL | FEDERAL TAX ID | |
| O36079559 | IL | -- | |
| 371390565 | IL | FEDERAL TAX ID |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Joseph Patrick Costello by the Centers for Medicare & Medicaid Services?
The Joseph Patrick Costello has been assigned the NPI (National Provider Identifier) 1073607651 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Joseph Patrick Costello?
The Joseph Patrick Costello is physically situated at Po Box 217, in the city of O Fallon, state of IL, with the postal code 622690217.
What is Joseph Patrick Costello's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Joseph Patrick Costello is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date did the Joseph Patrick Costello receive its 1073607651 assignment from the Centers for Medicare & Medicaid Services?
The Joseph Patrick Costello was assigned its 1073607651 by the Centers for Medicare & Medicaid Services on 2006-10-03.
As of what date were the details related to Joseph Patrick Costello most recently updated or revised?
The information pertaining to Joseph Patrick Costello, including its address, specialty, and other relevant details, was last updated or revised on 2011-11-30.
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