Costello, Tammy Lynne
Costello, Tammy Lynne is an individual health care provider with primary practice located at 1151 Robert Grissom Pkwy , Myrtle Beach SC 29577-5664. She recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as her primary health care specialty. Costello, Tammy Lynne can be contacted via phone (843) 839-5588.Contact Information
Primary practice address
1151 Robert Grissom Pkwy
Myrtle Beach SC 29577-5664
Phone: (843) 839-5588
Fax: (843) 839-5591
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Sports Physician | 111NS0005X | SC2755 | South Carolina |
Profile Details
| NPI number | 1558456202 |
|---|---|
| LBN Legal business name | Costello, Tammy Lynne |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 4th, 2006 |
| Last updated | May 11th, 2009 - about 17 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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