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Search › Nebraska › 225100000X

Jacob Costello, DPT

NPI 1275737470 · on the registry since 2007 · sole proprietor

Practice

Address
825 N 90th St
Omaha, NE 68114
Phone
(402) 933-8900
Fax
(402) 393-9388
Organisation at this address
Gac, Inc.
Gac, Inc.
Midwest Pain Clinic Pc
Midwest Pain Clinics Llc
Reuben C Setliff Iii Md Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
10

Registry record

Primary taxonomy
225100000X
225100000X
Also registered as
225100000X
335E00000X
Licence states on file
IA, NE
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2020-06-12

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 Nebraska