Corbett, James T

Corbett, James T is an individual health care provider with primary practice located at 1810 Mesquite Ave Ste B , Lake Havasu City AZ 86403-5886. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Corbett, James T can be contacted via phone (928) 453-4600.

Contact Information

Primary practice address
1810 Mesquite Ave Ste B Lake Havasu City AZ 86403-5886
Phone: (928) 453-4600
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X PA10003454 Washington
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 5180 Arizona

Profile Details

NPI number 1972577088
LBN Legal business name Corbett, James T
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Mar 17th, 2018 - about 8 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 1972577088 NPPES
Washington MEDICAID 8349417

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