Corbitt, Mary L
Corbitt, Mary L is an individual health care provider with primary practice located at 2215 Wildwood Avenue Ste 105, North Little Rock AR 72120. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Corbitt, Mary L can be contacted via phone (501) 833-3833.Contact Information
Primary practice address
2215 Wildwood Avenue Ste 105
North Little Rock AR 72120
Phone: (501) 833-3833
Fax: (501) 833-8191
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | C4633 | Arkansas |
Profile Details
NPI number | 1497713085 |
---|---|
LBN Legal business name | Corbitt, Mary L |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 3rd, 2006 |
Last updated | Jun 18th, 2010 - about 15 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1497713085 | NPPES |
Arkansas | MEDICAID | 710650667 |
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