Corbin, Maite Jacquay

Corbin, Maite Jacquay is an individual health care provider with primary practice located at 46440 Benedict Drive , Suite 107 , Sterling VA 20164-6602. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Corbin, Maite Jacquay can be contacted via phone (703) 450-1125.

Contact Information

Primary practice address
46440 Benedict Drive , Suite 107 Sterling VA 20164-6602
Fax: (703) 450-1145
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 0024177940 Virginia

Profile Details

NPI number 1275188559
LBN Legal business name Corbin, Maite Jacquay
Credentials DNP, APRN, FNP-BC
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2019
Last updated Mar 6th, 2024 - about last year

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 1275188559 NPPES
Virginia MEDICAID 30017438120001
Virginia MEDICAID 1275188559

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