Costello, Amanda
Costello, Amanda is an sole proprietor health care provider with primary practice located at 211 Executive Dr Suite 11, Newark DE 19702-3357. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Costello, Amanda can be contacted via phone (302) 793-1800.Contact Information
Primary practice address
211 Executive Dr Suite 11
Newark DE 19702-3357
Phone: (302) 793-1800
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | J3-0000438 | Delaware |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | RTO000108 | Pennsylvania |
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer | 2255A2300X | A00711 | Maryland |
Profile Details
| NPI number | 1295118164 |
|---|---|
| LBN Legal business name | Costello, Amanda |
| Credentials | ATC, LAT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jul 9th, 2015 |
| Last updated | Jul 9th, 2015 - about 11 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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