Corbett, Charity Anne

Corbett, Charity Anne is an individual health care provider with primary practice located at 2650 Ridge Ave , Evanston IL 60201-1718. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Acute Care, which is considered as her primary health care specialty. Corbett, Charity Anne can be contacted via phone (847) 570-1305.

Contact Information

Primary practice address
2650 Ridge Ave Evanston IL 60201-1718
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Acute Care 363LA2100X 209006606041312446 Illinois

Profile Details

NPI number 1255666798
LBN Legal business name Corbett, Charity Anne
Credentials C-NP
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 15th, 2009
Last updated Oct 15th, 2009 - about 17 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 1255666798 NPPES
Illinois Other 209006606041312446 ILLINOIS STATE PRACTICE LICENSE - CERTIFIED NURSE PRACTITIONER

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