Individual provider · Type 1 NPI
Antonio Costello
Student in an Organized Health Care Education/Training Program · Fostoria, OH
NPI number
1609417302
Active
Practice location
2641 Brookside Dr
Fostoria, OH 44830-1304
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Athletic Trainer | 2255A2300X | None listed |
| Student in an Organized Health Care Education/Training Program Primary | 390200000X | None listed |
Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
Other student in an organized health care education/training program providers in Fostoria
About NPI 1609417302
Antonio Costello's National Provider Identifier is 1609417302, issued on Oct 3, 2019. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Fostoria, OH. The record was last updated on Oct 3, 2019.