Corsello, Andrew C
Corsello, Andrew C is an individual health care provider with primary practice located at 96 Campus Dr Suite 1, Scarborough ME 04074-7133. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as his primary health care specialty. Corsello, Andrew C can be contacted via phone (207) 396-5611.Contact Information
Primary practice address
96 Campus Dr Suite 1
Scarborough ME 04074-7133
Phone: (207) 396-5611
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | MD15604 | Maine |
Profile Details
| NPI number | 1265412951 |
|---|---|
| LBN Legal business name | Corsello, Andrew C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 19th, 2006 |
| Last updated | Aug 17th, 2012 - about 12 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 | 1265412951 | NPPES |
| Maine | Other | P00816540 | RR MEDICARE |
| Maine | MEDICAID | 295850099 | RR MEDICARE |
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