Corjulo, Michael

Corjulo, Michael is an individual health care provider with primary practice located at 299 Washington Ave Ste Ll , Hamden CT 06518-3039. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as his primary health care specialty. Corjulo, Michael can be contacted via phone (203) 288-4288.

Contact Information

Primary practice address
299 Washington Ave Ste Ll Hamden CT 06518-3039
Phone: (203) 288-4288
Fax: (203) 288-1566
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 002019 Connecticut

Profile Details

NPI number 1790796647
LBN Legal business name Corjulo, Michael
Credentials Certified Pediatric Nurse Practitioner (CPNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2006
Last updated May 3rd, 2021 - about 5 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790796647 NPPES
Connecticut MEDICAID 004241931

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