Edward T Costello in Malvern - Physician Assistant
Edward T Costello - NPI 1730104340
Edward T Costello is a Physician Assistant in Malvern, Arkansas. Edward T Costello practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Edward T Costello is 1730104340. The last update date is 2021-05-17.
Edward T Costello's current location address is 1002 Schneider Dr, Malvern, Arkansas. You can contact this provider via phone number 5013327981 and fax number 5013379964. The mailing address for Edward T Costello is 1002 Schneider Dr, Malvern, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Edward T Costello |
|---|---|
| Address | 1002 Schneider Dr, Malvern, Arkansas |
| Phone Number | 5013327981 |
| Fax Number | 5013379964 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1730104340 |
|---|---|
| Provider Enumeration Date | 2006-07-13 |
| Last Updated Date | 2021-05-17 |
Provider Mailing Address Detail
| Address | 1002 Schneider Dr |
|---|---|
| City | Malvern |
| State | Arkansas (AR) |
| Post Code | 721044816 |
| Phone Number | 5013327981 |
| Fax Number | 5013379964 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA-251 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identifier code assigned to Edward T Costello by the Centers for Medicare & Medicaid Services?
The Edward T Costello has been issued the NPI (National Provider Identifier) 1730104340 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Edward T Costello is geographically located?
The Edward T Costello is physically situated at the following location: 1002 Schneider Dr, Malvern, AR, 721044816.
What is Edward T Costello's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Edward T Costello is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1730104340 to Edward T Costello?
The Edward T Costello received its 1730104340 assignment from the Centers for Medicare & Medicaid Services on 2006-07-13.
As of what date were the Edward T Costello's details last updated?
The information pertaining to the Edward T Costello, including its address, specialty, and other details, was most recently updated on 2021-05-17.
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