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THOMAS M COSTELLO JR, R.EP.T., CNIM – NPI #1770064784
EEG

NPI Profile for THOMAS M COSTELLO JR in LOUISVILLE, KY.

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Contact Information

THOMAS M COSTELLO JR, R.EP.T., CNIM
200 E CHESTNUT ST
LOUISVILLE, KY  40202-1831
 Phone: 502-629-4800
 Fax:
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

EEG

 2472E0500X 75 Slide Preparation Facility
Indicates primary specialty

NPI Profile & details for THOMAS M COSTELLO JR · (Male)

NPI Number 1770064784
Status Active
Credentials R.EP.T., CNIM
Entity Individual
Enumeration date 08/27/2018
Last updated 08/27/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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