Corcoran, Jacqueline E
Corcoran, Jacqueline E is an individual health care provider with primary practice located at 1400 South Dobson Road Attn: Bmg Hospitalist Team/ Amanda Gump, Mesa AZ 85202. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is her primary health care specialty. Corcoran, Jacqueline E can be contacted via phone (480) 412-6788.Contact Information
Primary practice address
1400 South Dobson Road Attn: Bmg Hospitalist Team/ Amanda Gump
Mesa AZ 85202
Phone: (480) 412-6788
Fax: (480) 412-6848
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 5101015935 | Michigan |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 006360 | Arizona |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 5101015935 | Michigan |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | 006360 | Arizona |
Profile Details
| NPI number | 1659401834 |
|---|---|
| LBN Legal business name | Corcoran, Jacqueline E |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Feb 19th, 2021 - about 4 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 | 1659401834 | NPPES |
| Michigan | Other | 1659401834 | NPI |
| Michigan | Other | 5821617 | NPI |
| Michigan | MEDICAID | 114632103 | NPI |
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