Search › Ohio › 367500000X
Matthew Costello
NPI 1538739693 · on the registry since 2021 · sole proprietor
Practice
- Address
- 612 Jillian Frances Cir
Pickerington, OH 43147 - Phone
- (330) 550-5814
Registry record
- Primary taxonomy
- 367500000X
367500000X
- Also registered as
- 163W00000X
390200000X - Licence states on file
- OH
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2022-09-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio