Costello, James
Costello, James is an individual health care provider with primary practice located at 4120 Prescott Rd , Modesto CA 95356-8418. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Costello, James can be contacted via phone (209) 544-7300.Contact Information
Primary practice address
4120 Prescott Rd
Modesto CA 95356-8418
Phone: (209) 544-7300
Fax: (209) 544-7323
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | PA10823 | California |
Profile Details
| NPI number | 1801883236 |
|---|---|
| LBN Legal business name | Costello, James |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 30th, 2005 |
| Last updated | Mar 7th, 2023 - about 3 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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