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
Phone: (651) 464-1113
Fax: (651) 464-0853
Website:
Health care specialties
| Specialty | Code | License # | 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720097389 | NPPES |
| Minnesota | MEDICAID | 1720097389 |
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