Corle, Michelle Lee

Corle, Michelle Lee is an individual health care provider with primary practice located at 1511 Scalp Ave , Johnstown PA 15904. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Corle, Michelle Lee can be contacted via phone (814) 254-4207.

Contact Information

Primary practice address
1511 Scalp Ave Johnstown PA 15904
Phone: (814) 254-4207
Fax: (814) 254-4733
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X SP016385 Pennsylvania

Profile Details

NPI number 1033662770
LBN Legal business name Corle, Michelle Lee
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 29th, 2016
Last updated May 22nd, 2018 - about 6 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 1033662770 NPPES
Pennsylvania MEDICAID 1034749420001

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