Costantino, Thomas G

Costantino, Thomas G is an individual health care provider with primary practice located at 14319 Dix Toledo Rd , Southgate MI 48195-2506. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Costantino, Thomas G can be contacted via phone (734) 285-0677.

Contact Information

Primary practice address
14319 Dix Toledo Rd Southgate MI 48195-2506
Phone: (734) 285-0677
Fax: (734) 285-3574
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 5101006373 Michigan

Profile Details

NPI number 1710926399
LBN Legal business name Costantino, Thomas G
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 6th, 2006
Last updated Oct 22nd, 2020 - about 6 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1710926399 NPPES
Other 791126254 MEDICARE RAILROAD
Other C3241 MEDICARE RAILROAD
Other E26804 MEDICARE RAILROAD
Other 125036 MEDICARE RAILROAD
MEDICAID 111059129 MEDICARE RAILROAD
Other 5823153 MEDICARE RAILROAD

Popular Providers