Costello, Leah Mclane
Costello, Leah Mclane is an individual health care provider with primary practice located at 51 Timber Ln , South Burlington VT 05403-5201. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Costello, Leah Mclane can be contacted via phone (802) 864-0521.Contact Information
Primary practice address
51 Timber Ln
South Burlington VT 05403-5201
Phone: (802) 864-0521
Fax: (802) 864-6475
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 042.0012834 | Vermont |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 7148432-1205 | Utah |
Profile Details
| NPI number | 1326292269 |
|---|---|
| LBN Legal business name | Costello, Leah Mclane |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 5th, 2008 |
| Last updated | Jun 30th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326292269 | NPPES |
| Vermont | MEDICAID | 1026302 |
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