Corbett, Patricia Ann

Corbett, Patricia Ann is an individual health care provider with primary practice located at 1708 High St , South Bend IN 46613-2633. She recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner, Physician Assistants & Advanced Practice Nursing Providers / Women's Health. Physician Assistants & Advanced Practice Nursing Providers / Women's Health is her primary health care specialty. Corbett, Patricia Ann can be contacted via phone (574) 400-4418.

Contact Information

Primary practice address
1708 High St South Bend IN 46613-2633
Phone: (574) 400-4418
Fax: (574) 232-9550
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Practitioner 363L00000X 71001141A Indiana
Physician Assistants & Advanced Practice Nursing Providers / Women's Health 363LW0102X 71001141A Indiana

Profile Details

NPI number 1699763409
LBN Legal business name Corbett, Patricia Ann
Credentials Nurse Practitioner (NP)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Feb 1st, 2019 - about 6 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 1699763409 NPPES
Indiana Other 000000789430 BCBS CENTENNIAL
Indiana Other 000000365101 BCBS CENTENNIAL
Indiana MEDICAID 200044860 BCBS CENTENNIAL
Indiana Other 500029743 BCBS CENTENNIAL

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