Costleigh, Brian J.
Costleigh, Brian J. is an sole proprietor health care provider with primary practice located at 1344 S Apollo Blvd Ste 103 , Melbourne FL 32901-3183. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Costleigh, Brian J. can be contacted via phone (321) 441-8915.Contact Information
Primary practice address
1344 S Apollo Blvd Ste 103
Melbourne FL 32901-3183
Phone: (321) 441-8915
Fax: (321) 294-4107
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | C1-0004563 | Delaware |
Profile Details
| NPI number | 1932101144 |
|---|---|
| LBN Legal business name | Costleigh, Brian J. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 1st, 2005 |
| Last updated | Jun 6th, 2024 - about 2 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 | 1932101144 | NPPES |
| Other | P00293179 | RRMEDICARE | |
| MEDICAID | 0000675901 | RRMEDICARE |
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