Costella, Vincent J
Costella, Vincent J is an individual health care provider with primary practice located at 3511 W Market St Ste 250 , Greensboro NC 27403-4445. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Costella, Vincent J can be contacted via phone (336) 852-3800.Contact Information
Primary practice address
3511 W Market St Ste 250
Greensboro NC 27403-4445
Phone: (336) 852-3800
Fax: (336) 852-5725
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | 0010-06358 | North Carolina |
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 0010-06358 | North Carolina |
Profile Details
| NPI number | 1336503036 |
|---|---|
| LBN Legal business name | Costella, Vincent J |
| Credentials | PAC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 8th, 2016 |
| Last updated | Jun 24th, 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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