SHELBY KOSTAL


Address: 4111 Avalon Dr, Wilmington, MA 01887-1162
Phone: 6312192543

SHELBY KOSTAL (NPI# 1295375020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1295375020
Entity Type Individual
Full Name SHELBY KOSTAL
Practice Address 4111 Avalon Dr
Wilmington
MA 01887-1162
Practice Telephone 6312192543
Mailing Telephone 6312192543
Enumeration Date 2020-01-09
Last Update Date 2020-01-09
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Office Location

Street Address 4111 AVALON DR
City WILMINGTON
State MA
Zip Code 01887-1162

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396208039 Wilmington Rehab Center LLC Skilled Nursing Facility 90 West Street, Wilmington, MA 01887 2019-04-10
1912444159 Myriam Mercedes Claudio Moser Physical Therapist 230 Lowell Street, Suite 2d, Wilmington, MA 01887 2017-01-26
1831430842 Maribeth Crupi Physical Therpay LLC Clinic/Center 10 Elizabeth Drive, Wilmington, MA 01887 2013-03-15
1497027643 Kristie Demirev Social Worker 113 West St, Wilmington, MA 01887 2012-02-03
1780828434 Dental Care of Wilmington, LLC Dentist 66 Unit T Concord St, Wilmington, MA 01887 2009-04-25
1316191844 Rem Medical Equipment LLC Durable Medical Equipment & Medical Supplies 187 Ballardvale Street, Suite 202, Wilmington, MA 01887 2008-11-11
1982894622 Angie Faith Brenner Social Worker 5 Middlesex Ave., Suite 11, Wilmington, MA 01887 2007-07-30
1093847345 Deborah Ann Edgerly Dentist 388 Rear Main Street, Wilmington, MA 01887 2007-03-12
1033240817 Wilminton Public Schools Local Education Agency (LEA) 161 Church St., Wilmington, MA 01887 2007-03-07
1013046176 Occupational Health Centers of The Southwest, P.a., Co. Clinic/Center 66b Concord St., Wilmington, MA 01887 2007-03-05
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Taxonomy Information

Taxonomy Code 390200000X
Grouping Student, Health Care
Classification Student in an Organized Health Care Education/Training Program

Taxonomy Definition

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.
Notes: [1/1/2005: new]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1518565563 Hanna Kreinbrink Student in an Organized Health Care Education/Training Program 365 Darlington Ave Unit 303, Wilmington, NC 28403-1371 2020-10-13
1548868656 Ashton Whitley Student in an Organized Health Care Education/Training Program 5205 Lord Tennyson Dr, Wilmington, NC 28405-2622 2020-10-12
1114535275 Khalid Alabid Student in an Organized Health Care Education/Training Program 133 Salem Ct, Wilmington, NC 28411-9745 2020-07-15
1386261964 Harjas S Aulakh Student in an Organized Health Care Education/Training Program 3549 Silverside Rd # E403, Wilmington, DE 19810-4922 2020-06-30
1437776499 Erin Amira Feehan Student in an Organized Health Care Education/Training Program 2502 White Rd, Wilmington, NC 28411-6134 2020-06-25
1851916753 Denia Cislo Student in an Organized Health Care Education/Training Program 3811 Merestone Dr, Wilmington, NC 28412-5184 2020-06-16
1689294894 Sheena Sikka Student in an Organized Health Care Education/Training Program 401 Justison St Apt 203, Wilmington, DE 19801-5291 2020-04-17
1437779683 Minal Aundhia Student in an Organized Health Care Education/Training Program Sidney Kimmel Medical College, 1600 Rockland Road Pediatric Residency Program, Wilmington, DE 19803 2020-04-17
1457980955 Faisal Shabbir Student in an Organized Health Care Education/Training Program 701 N Clayton St Fl Street2, Wilmington, DE 19805-3165 2020-04-06
1669000311 Kye Matthew Williams Student in an Organized Health Care Education/Training Program 501 W 14th St # A, Wilmington, DE 19801-1013 2020-03-30
Find all providers in WILMINGTON

Competitor

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City WILMINGTON
Zip Code 01887

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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