Corbin, Carlie G

Corbin, Carlie G is an individual health care provider with primary practice located at 913 Nw Garden Valley Blvd , Roseburg OR 97471-6523. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health, which is considered as her primary health care specialty. Corbin, Carlie G can be contacted via phone (541) 440-1257.

Contact Information

Primary practice address
913 Nw Garden Valley Blvd Roseburg OR 97471-6523
Phone: (541) 440-1257
Fax: (541) 440-1356
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Psychiatric/Mental Health 363LP0808X 1140-A Idaho

Profile Details

NPI number 1215244793
LBN Legal business name Corbin, Carlie G
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2010
Last updated Nov 19th, 2019 - about 5 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 1215244793 NPPES
Idaho Other NP-1140A STATE LICENSE

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