Corrales, Gustavo A
Corrales, Gustavo A is an sole proprietor health care provider with primary practice located at 410 S Washington St , Falls Church VA 22046. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Corrales, Gustavo A can be contacted via phone (703) 532-0728.Contact Information
Primary practice address
410 S Washington St
Falls Church VA 22046
Phone: (703) 532-0728
Fax: (888) 972-9036
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | MT187242 | Pennsylvania |
| Allopathic & Osteopathic Physicians / Ophthalmology | 207W00000X | 003086 | New York |
Profile Details
| NPI number | 1326249889 |
|---|---|
| LBN Legal business name | Corrales, Gustavo A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 30th, 2007 |
| Last updated | Sep 7th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1326249889 | NPPES |
| New York | Other | 650A21 | EMPIRE BLUE CROSS BLUE SHIELD |
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