Daniel G Costello is a Medical in Kenai, Alaska. Daniel G Costello practices all healthcare services and medical treatments related to Medical. The NPI Number for Daniel G Costello is 1063415156. The last update date is 2021-08-09.
Daniel G Costello's current location address is 10543 Kenai Spur Hwy, Kenai, Alaska. You can contact this provider via phone number 9073950463 and fax number 9073950483. The mailing address for Daniel G Costello is 10543 Kenai Spur Hwy, Kenai, Alaska. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daniel G Costello |
|---|---|
| Address | 10543 Kenai Spur Hwy, Kenai, Alaska |
| Phone Number | 9073950463 |
| Fax Number | 9073950483 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1063415156 |
|---|---|
| Provider Enumeration Date | 2005-05-23 |
| Last Updated Date | 2021-08-09 |
Provider Mailing Address Detail
| Address | 10543 Kenai Spur Hwy |
|---|---|
| City | Kenai |
| State | Alaska (AK) |
| Post Code | 9961178120 |
| Phone Number | 9073950463 |
| Fax Number | 9073950483 |
Provider's Primary Taxonomy Detail
| Speciality | Medical |
|---|---|
| Taxonomy | 363Am0700X |
| Licence No | 2300 |
|
Definition: A licensed healthcare professional who practices medicine under physician supervision focusing on medical diagnoses and treatment. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 97259365 | CO | -- | |
| 1687798 | AK | -- |
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What is the Daniel G Costello's 1063415156?
The Daniel G Costello's NPI (National Provider Identifier) Number is 1063415156. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
What is the unique identifier code issued to Daniel G Costello by the Centers for Medicare & Medicaid Services (CMS)?
The Daniel G Costello has been assigned the NPI (National Provider Identifier) 1063415156. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Daniel G Costello located?
The Daniel G Costello is located at 10543 Kenai Spur Hwy, Kenai, AK 9961178120.
Could you please provide the complete physical location address of Daniel G Costello?
The Daniel G Costello is physically situated at 10543 Kenai Spur Hwy, in the city of Kenai, state of AK, with the postal code 9961178120.
When was the Daniel G Costello's 1063415156 issued?
The Daniel G Costello's 1063415156 was issued on 2005-05-23.