ALFRED THOMAS COSTELLO NPI 1174188437

NPI Information

NPI: 1174188437
Provider Name: ALFRED THOMAS COSTELLO
Classification: Hearing Instrument Specialist - 237700000X
Entity Type: Individual
Address:
21925 GREATER MACK AVE
SAINT CLAIR SHORES, MI
ZIP 48080
Phone: (586) 776-5277
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Alfred Thomas Costello is a hearing instrument specialist in Saint Clair Shores, MI. The provider is individuals who test hearing for the selection, adaptation, fitting, adjusting, servicing, and sale of hearing aids. Hearing Instrument Specialist is a designation provided individuals who qualify by the National Hearing Aid Society Alfred Thomas Costello NPI is 1174188437. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

21925 GREATER MACK AVE
SAINT CLAIR SHORES, MI
ZIP 48080-420
Phone: (586) 776-5277

The enumeration date for this NPI number is 5/2/2019 and was last updated on 5/2/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	237700000X	Hearing Instrument Specialist		3501004781		Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1891845335	OTHER	MICHIGAN	NPI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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