Corbello, Elizabeth Anne

Corbello, Elizabeth Anne is an individual health care provider with primary practice located at 1301 Camellia Blvd Suite 102, Lafayette LA 70508-7089. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Corbello, Elizabeth Anne can be contacted via phone (337) 233-3201.

Contact Information

Primary practice address
1301 Camellia Blvd Suite 102 Lafayette LA 70508-7089
Phone: (337) 233-3201
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA.INTE.PERMIT Louisiana

Profile Details

NPI number 1649468224
LBN Legal business name Corbello, Elizabeth Anne
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 9th, 2007
Last updated Jan 12th, 2015 - about 10 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 1649468224 NPPES
Louisiana MEDICAID 2113925

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