Richard Costello in High Point - Physician Assistant
Richard Costello - NPI 1922069673
Richard Costello is a Physician Assistant in High Point, North Carolina. Richard Costello practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Richard Costello is 1922069673. The last update date is 2016-10-04.
Richard Costello's current location address is 306 Westwood Ave, High Point, North Carolina. You can contact this provider via phone number 3368856168 and fax number 3368856402. The mailing address for Richard Costello is 306 Westwood Ave, High Point, North Carolina. To know further, please read the information below!
Provider Profile Detail
Provider Name | Richard Costello |
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Address | 306 Westwood Ave, High Point, North Carolina |
Phone Number | 3368856168 |
Fax Number | 3368856402 |
Sole Proprietor | N |
Credentials | PA-C |
NPI Number Detail
NPI Number | 1922069673 |
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Provider Enumeration Date | 2006-03-31 |
Last Updated Date | 2016-10-04 |
Provider Mailing Address Detail
Address | 306 Westwood Ave |
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City | High Point |
State | North Carolina (NC) |
Post Code | 272624341 |
Phone Number | 3368856168 |
Fax Number | 3368856402 |
Provider's Primary Taxonomy Detail
Speciality | Physician Assistant |
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Taxonomy | 363A00000X |
Licence No | 102803 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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970016973 | NC | RR MEDICARE |
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What is the Richard Costello's unique identification number?
The Richard Costello has been assigned the NPI (National Provider Identifier) Number 1922069673 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Richard Costello located?
The Richard Costello is located at 306 Westwood Ave, High Point, NC 272624341.
What is the Richard Costello's specialty and taxonomy code?
The Richard Costello's specialty is Physician Assistant, and the corresponding taxonomy code is 363A00000X.
When did the Richard Costello receive its 1922069673?
The Richard Costello was issued its 1922069673 on 2006-03-31, which is the date when the organization was assigned this unique identifier.
As of what date were the Richard Costello's details last updated?
The information pertaining to the Richard Costello, including its address, specialty, and other details, was most recently updated on 2016-10-04.