| Costin Family Practice, Inc | |
|
130 N Detroit St Bellefontaine OH 43311-1464 | |
| (937) 599-3085 | |
| Not Available |
| Full Name | Costin Family Practice, Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 130 N Detroit St, Bellefontaine, Ohio |
| Authorized Official Name and Position | Arthur B Costin (PHYSICIAN) |
| Authorized Official Contact | 9375993085 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Costin Family Practice, Inc 130 N Detroit St Bellefontaine OH 43311-1464 Ph: (937) 599-3085 | Costin Family Practice, Inc 130 N Detroit St Bellefontaine OH 43311-1464 Ph: (937) 599-3085 |
| NPI Number | 1831274901 |
|---|---|
| Provider Enumeration Date | 10/26/2006 |
| Last Update Date | 05/21/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1831274901 | NPI | - | NPPES |
| 0750665 | Medicaid | OH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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