Ennis, Corey E
Ennis, Corey E is an individual health care provider with primary practice located at 1184 State Route 50 , Ballston Lake NY 12019-1923. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Ennis, Corey E can be contacted via phone (518) 384-1281.Contact Information
Primary practice address
1184 State Route 50
Ballston Lake NY 12019-1923
Phone: (518) 384-1281
Fax: (518) 384-0321
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X |
Profile Details
| NPI number | 1912392192 |
|---|---|
| LBN Legal business name | Ennis, Corey E |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 3rd, 2015 |
| Last updated | Oct 17th, 2022 - about 2 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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