Corcoran, Martha Ellen

Corcoran, Martha Ellen is an individual health care provider with primary practice located at 2702 Low Ct , Fairfield CA 94534-9771. She recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as her primary health care specialty. Corcoran, Martha Ellen can be contacted via phone (707) 427-4900.

Contact Information

Primary practice address
2702 Low Ct Fairfield CA 94534-9771
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X G064295 California

Profile Details

NPI number 1063487825
LBN Legal business name Corcoran, Martha Ellen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 22nd, 2006
Last updated Jun 12th, 2015 - about 9 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1063487825 NPPES
California MEDICAID 00G642950

Popular Providers