Korbitz, Deborah S

Korbitz, Deborah S is an individual health care provider with primary practice located at 967 Lake St S , Forest Lake MN 55025. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Family, which is considered as her primary health care specialty. Korbitz, Deborah S can be contacted via phone (651) 464-1113.

Contact Information

Primary practice address
967 Lake St S Forest Lake MN 55025
Fax: (651) 464-0853
Website:

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Family 363LF0000X 5429 Minnesota

Profile Details

NPI number 1720097389
LBN Legal business name Korbitz, Deborah S
Credentials Certified Nurse Practitioner (CNP)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 5th, 2006
Last updated Jan 18th, 2019 - about 5 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 1720097389 NPPES
Minnesota MEDICAID 1720097389

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