Corbett, James Alan

Corbett, James Alan is an individual health care provider with primary practice located at 2511 W Edgewood Dr Ste D, Jefferson City MO 65109-5869. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as his primary health care specialty. Corbett, James Alan can be contacted via phone (573) 761-2121.

Contact Information

Primary practice address
2511 W Edgewood Dr Ste D Jefferson City MO 65109-5869
Phone: (573) 761-2121
Fax: (573) 635-0726
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 142061 Missouri

Profile Details

NPI number 1144277815
LBN Legal business name Corbett, James Alan
Credentials RN, FNP
Entity Individual
Sole proprietor 1 No
Enumeration date May 28th, 2006
Last updated Jun 13th, 2016 - about 8 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 1144277815 NPPES
Missouri MEDICAID 429284417

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