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:
Health care specialties
| Specialty | Code | License # | 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 11 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649468224 | NPPES |
| Louisiana | MEDICAID | 2113925 |
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