Corsello, Paul M

Corsello, Paul M is an sole proprietor health care provider with primary practice located at 5300 Elliott Dr , Ypsilanti MI 48197-8632. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Corsello, Paul M can be contacted via phone (734) 434-6262.

Contact Information

Primary practice address
5300 Elliott Dr Ypsilanti MI 48197-8632
Phone: (734) 434-6262
Fax: (734) 712-2820
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 4301096557 Michigan
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 4301096557 Michigan

Profile Details

NPI number 1437479383
LBN Legal business name Corsello, Paul M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 2nd, 2010
Last updated Jan 31st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1437479383 NPPES
Michigan Other 0414989 BCBS GROUP

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