Corley, Michael

Corley, Michael is an individual health care provider with primary practice located at 100 Grand St , New Britain CT 06052-2016. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers / Surgical. Physician Assistants & Advanced Practice Nursing Providers / Surgical is his primary health care specialty. Corley, Michael can be contacted via phone (860) 224-5011.

Contact Information

Primary practice address
100 Grand St New Britain CT 06052-2016
Phone: (860) 224-5011
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 4927 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 4927 Connecticut

Profile Details

NPI number 1467061549
LBN Legal business name Corley, Michael
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 24th, 2020
Last updated Jun 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1467061549 NPPES
Connecticut Other 004927 CT LIC

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