Corbello, Jesse Michael

Corbello, Jesse Michael is an individual health care provider with primary practice located at 124 S University Blvd Ste A , Mobile AL 36608-3078. He recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Corbello, Jesse Michael can be contacted via phone (251) 343-5004.

Contact Information

Primary practice address
124 S University Blvd Ste A Mobile AL 36608-3078
Phone: (251) 343-5004
Fax: (251) 343-8383
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 30121 Alabama
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD.200276 Louisiana
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 30121 Alabama

Profile Details

NPI number 1063602449
LBN Legal business name Corbello, Jesse Michael
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 31st, 2007
Last updated May 10th, 2021 - about 4 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 1063602449 NPPES
Alabama Other 51108316 BCBS
Alabama MEDICAID 1-06690-7 BCBS

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