Corral, Carlos Humberto
Corral, Carlos Humberto is an individual health care provider with primary practice located at 11700 W 2Nd Pl Ste 280 , Lakewood CO 80228-1717. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Corral, Carlos Humberto can be contacted via phone (720) 321-8680.Contact Information
Primary practice address
11700 W 2Nd Pl Ste 280
Lakewood CO 80228-1717
Phone: (720) 321-8680
Fax: (720) 321-8681
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | G2120 | Texas |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 90170 | New Mexico |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 59284 | Colorado |
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 101130 | Montana |
Profile Details
| NPI number | 1245212539 |
|---|---|
| LBN Legal business name | Corral, Carlos Humberto |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 14th, 2005 |
| Last updated | Nov 23rd, 2021 - about 3 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 | 1245212539 | NPPES |
| New Mexico | Other | 000X3247 | SALUD PROGRAMS MEDICAID |
| New Mexico | Other | 330003968 | SALUD PROGRAMS MEDICAID |
| New Mexico | MEDICAID | 122858703 | SALUD PROGRAMS MEDICAID |
| New Mexico | Other | 900522525 | SALUD PROGRAMS MEDICAID |
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