Bahia, Corazon A

Bahia, Corazon A is an individual health care provider with primary practice located at 640 S State St , Dover DE 19901-3530. She recently has only one registered license in Allopathic & Osteopathic Physicians / Diagnostic Radiology, which is considered as her primary health care specialty. Bahia, Corazon A can be contacted via phone (302) 744-7062.

Contact Information

Primary practice address
640 S State St Dover DE 19901-3530
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X C10005282 Delaware

Profile Details

NPI number 1487633665
LBN Legal business name Bahia, Corazon A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 16th, 2006
Last updated Mar 27th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487633665 NPPES
Delaware MEDICAID 0000897701

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