Sonnett, Corey Ellis

Sonnett, Corey Ellis is an individual health care provider with primary practice located at 340 S Willard St , Cottonwood AZ 86326-4126. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as his primary health care specialty. Sonnett, Corey Ellis can be contacted via phone (928) 639-6025.

Contact Information

Primary practice address
340 S Willard St Cottonwood AZ 86326-4126
Phone: (928) 639-6025
Fax: (928) 634-1117
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X 4614 Arizona

Profile Details

NPI number 1205153699
LBN Legal business name Sonnett, Corey Ellis
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 26th, 2010
Last updated Apr 1st, 2021 - 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 1205153699 NPPES
Arizona MEDICAID 519850

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