Costakos, Deborah

Costakos, Deborah is an individual health care provider with primary practice located at 9000 W Wisconsin Ave Pediatric Ophthalmology, Milwaukee WI 53226-4874. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Costakos, Deborah can be contacted via phone (414) 607-5280.

Contact Information

Primary practice address
9000 W Wisconsin Ave Pediatric Ophthalmology Milwaukee WI 53226-4874
Phone: (414) 607-5280
Fax: (414) 266-2027
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 41333-020 Wisconsin

Profile Details

NPI number 1568466928
LBN Legal business name Costakos, Deborah
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 13th, 2005
Last updated Mar 11th, 2024 - about 2 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 1568466928 NPPES
Wisconsin MEDICAID 1568466928

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