Individual
LINDA A COSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
118 DOWELL AVE, BELLEFONTAINE, OH 43311-2305
(937) 593-5437
Mailing address
110 DOWELL AVE, BELLEFONTAINE, OH 43311-2305
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
34006035
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000212780
ANTHEM
—
01
—
0007901038
AETNA
—
01
—
12-01787
UHC
—
01
—
1956150005
CIGNA
—
05
—
2044255
—
OH
01
—
408680000E
NATIONWIDE
—
Enumeration date
06/11/2006
Last updated
02/18/2013
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