Costa, John Albert

Costa, John Albert is an individual health care provider with primary practice located at 650 E Indian School Rd 116A, Phoenix AZ 85012-1839. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Costa, John Albert can be contacted via phone (602) 277-5551.

Contact Information

Primary practice address
650 E Indian School Rd 116A Phoenix AZ 85012-1839
Phone: (602) 277-5551
Fax: (602) 200-6010
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 25266 Arizona

Profile Details

NPI number 1942305479
LBN Legal business name Costa, John Albert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2006
Last updated Jul 8th, 2007 - about 18 years 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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Identifiers

StateTypeNumberIssuer
All States NPI 1942305479 NPPES
Arizona Other 25266 LICENSE, MEDICAL

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