Costello, Paul C

Costello, Paul C is an individual health care provider with primary practice located at 16549 Aurora Ave N , Shoreline WA 98133-5308. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Costello, Paul C can be contacted via phone (206) 533-2600.

Contact Information

Primary practice address
16549 Aurora Ave N Shoreline WA 98133-5308
Phone: (206) 533-2600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD00038198 Washington

Profile Details

NPI number 1427069160
LBN Legal business name Costello, Paul C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated Dec 3rd, 2020 - about 6 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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Identifiers

StateTypeNumberIssuer
All States NPI 1427069160 NPPES
Washington MEDICAID 1010103
Washington MEDICAID 8252157
Washington Other 152833
Washington Other A002

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