Corsello, Edward

Corsello, Edward is an individual health care provider with primary practice located at 3333 Main St , Stratford CT 06614-4861. He recently has only one registered license in Chiropractic Providers / Internist, which is considered as his primary health care specialty. Corsello, Edward can be contacted via phone (203) 381-1800.

Contact Information

Primary practice address
3333 Main St Stratford CT 06614-4861
Fax: (203) 381-1801
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Internist 111NI0900X CT1562 Connecticut

Profile Details

NPI number 1649337452
LBN Legal business name Corsello, Edward
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 2nd, 2007
Last updated Jul 8th, 2007 - about 17 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 1649337452 NPPES
Connecticut Other 050001562CT04 ANTHEM ID

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