Corbett, Mark Lee

Corbett, Mark Lee is an individual health care provider with primary practice located at 1261 Goss Ave , Louisville KY 40217-1239. He recently has only one registered license in Allopathic & Osteopathic Physicians / Allergy & Immunology, which is considered as his primary health care specialty. Corbett, Mark Lee can be contacted via phone (502) 635-6937.

Contact Information

Primary practice address
1261 Goss Ave Louisville KY 40217-1239
Phone: (502) 635-6937
Fax: (502) 434-3809
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Allergy & Immunology 207K00000X 27120 Kentucky

Profile Details

NPI number 1528064508
LBN Legal business name Corbett, Mark Lee
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2005
Last updated Mar 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 1528064508 NPPES
Kentucky MEDICAID 64271208

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