Costello, Frederick M
Costello, Frederick M is an individual health care provider with primary practice located at 8854 W Emerald St Ste 260 , Boise ID 83704-4860. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Interventional Cardiology. Allopathic & Osteopathic Physicians / Interventional Cardiology is his primary health care specialty. Costello, Frederick M can be contacted via phone (208) 398-4306.Contact Information
Primary practice address
8854 W Emerald St Ste 260
Boise ID 83704-4860
Phone: (208) 398-4306
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 200400112 | North Carolina |
| Allopathic & Osteopathic Physicians / Interventional Cardiology | 207RI0011X | M10231 | Idaho |
Profile Details
| NPI number | 1285851337 |
|---|---|
| LBN Legal business name | Costello, Frederick M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 19th, 2007 |
| Last updated | Jul 19th, 2023 - 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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