Cortellesi, Thomas Brian
Cortellesi, Thomas Brian is an individual health care provider with primary practice located at One Clinic Drive Claypool Hill, Richlands VA 24641-1100. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Cortellesi, Thomas Brian can be contacted via phone (276) 964-6771.Contact Information
Primary practice address
One Clinic Drive Claypool Hill
Richlands VA 24641-1100
Phone: (276) 964-6771
Fax: (276) 964-1253
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0102037199 | Virginia |
Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 0102037199 | Virginia |
Profile Details
NPI number | 1588646459 |
---|---|
LBN Legal business name | Cortellesi, Thomas Brian |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Nov 16th, 2005 |
Last updated | Jul 11th, 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 | 1588646459 | NPPES |
Other | 226888 | ANTHEM BCBS | |
MEDICAID | 64666183 | ANTHEM BCBS | |
MEDICAID | 5831636 | ANTHEM BCBS | |
MEDICAID | 6000379-000 | ANTHEM BCBS |
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