Corbett, Colleen

Corbett, Colleen is an individual health care provider with primary practice located at 21 Park Pl , Appleton WI 54914-8872. She recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as her primary health care specialty. Corbett, Colleen can be contacted via phone (920) 739-4361.

Contact Information

Primary practice address
21 Park Pl Appleton WI 54914-8872
Fax: (920) 739-6368
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X WI27950 Wisconsin

Profile Details

NPI number 1528078011
LBN Legal business name Corbett, Colleen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Mar 26th, 2013 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528078011 NPPES
Wisconsin MEDICAID 30752300

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