Costello, Brian L.
Costello, Brian L. is an individual health care provider with primary practice located at 5310 Homestead Rd Ne Suite 301, Albuquerque NM 87110-1437. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as his primary health care specialty. Costello, Brian L. can be contacted via phone (505) 872-4700.Contact Information
Primary practice address
5310 Homestead Rd Ne Suite 301
Albuquerque NM 87110-1437
Phone: (505) 872-4700
Fax: (505) 872-4709
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X |
Profile Details
| NPI number | 1154306454 |
|---|---|
| LBN Legal business name | Costello, Brian L. |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 8th, 2005 |
| Last updated | Sep 26th, 2016 - about 10 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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