Costello, Michael
Costello, Michael is an individual health care provider with primary practice located at 4967 Crooks Rd Suite 120, Troy MI 48098-5801. 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, Michael can be contacted via phone (248) 952-1601.Contact Information
Primary practice address
4967 Crooks Rd Suite 120
Troy MI 48098-5801
Phone: (248) 952-1601
Fax: (248) 952-5781
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 5601003192 | Michigan |
Profile Details
| NPI number | 1083609192 |
|---|---|
| LBN Legal business name | Costello, Michael |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 14th, 2005 |
| Last updated | Jul 17th, 2012 - about 14 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.
Popular Providers
-
Kukula, Cathy Ann
2825 Livernois Rd , Troy MI 48083-1214 -
Rosenberg, Camille
3310 W Big Beaver Rd Suite 137, Troy MI 48084-2809 -
Thurston, Kristin Anne
44201 Dequindre Rd , Troy MI 48085-1117 -
Hollinger, Howard J
4600 Investment Dr Suite 200, Troy MI 48098-6365 -
Weise, Patricia Lynn
44201 Dequindre Rd , Troy MI 48085-1117 -
Macmartin, Leah C
85 E Big Beaver Rd , Troy MI 48083-1262 -
Collinson, Femie
4967 Crooks Rd Suite 130, Troy MI 48098-5801 -
Belesky, Beth A
2221 Livernois Rd Suite 101, Troy MI 48083-1603