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
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1063487825 | NPPES |
| California | MEDICAID | 00G642950 |
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