Corsello, Phillip R
Corsello, Phillip R is an individual health care provider with primary practice located at 1400 Jackson St , Denver CO 80206-2761. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Corsello, Phillip R can be contacted via phone (303) 388-4461.Contact Information
Primary practice address
1400 Jackson St
Denver CO 80206-2761
Phone: (303) 388-4461
Fax: (303) 270-2174
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | 15315 | Colorado |
Profile Details
| NPI number | 1609967025 |
|---|---|
| LBN Legal business name | Corsello, Phillip R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 28th, 2006 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1609967025 | NPPES |
| Colorado | MEDICAID | 01153154 |
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