Costa, Casey Grant
Costa, Casey Grant is an individual health care provider with primary practice located at 200 Medical Park Blvd , Petersburg VA 23805-9274. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Costa, Casey Grant can be contacted via phone (804) 765-5681.Contact Information
Primary practice address
200 Medical Park Blvd
Petersburg VA 23805-9274
Phone: (804) 765-5681
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 0116037906 | Virginia |
Profile Details
| NPI number | 1134814122 |
|---|---|
| LBN Legal business name | Costa, Casey Grant |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 6th, 2023 |
| Last updated | Jun 30th, 2026 - about 4 months 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.
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