Corebella Health

LBN: Dr. Decio M. De Escobar
Corebella Health is an health care organization with primary practice located at 171 Grandview Ave Suite 101, Waterbury CT 06708-2517. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Naturopath, Allopathic & Osteopathic Physicians / Otolaryngic Allergy, Physician Assistants & Advanced Practice Nursing Providers / Medical. Allopathic & Osteopathic Physicians / Otolaryngic Allergy is the primary health care specialty. Dr. Decio M. De Escobar can be contacted via phone (203) 757-9336, or through Contois, Danelle via phone (203) 757-9336.

Contact Information

Primary practice address
171 Grandview Ave Suite 101 Waterbury CT 06708-2517
Phone: (203) 757-9336
Fax: (203) 757-9611
Website:
Map and Directions
Authorized official contact:
Name: Contois, Danelle CPC
Phone: (203) 757-9336

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Naturopath 175F00000X 000352 Connecticut
Allopathic & Osteopathic Physicians / Otolaryngic Allergy 207YX0602X 12669 Connecticut
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 1139 Connecticut

Profile Details

NPI number 1386931277
LBN Legal business name Dr. Decio M. De Escobar
DBA Doing business as Corebella Health
Authorized official Contois, Danelle CPC
Entity Organization
Organization subpart 1 No
Enumeration date Jun 30th, 2011
Last updated Jun 30th, 2011 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1386931277 NPPES
Connecticut MEDICAID 001126697

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