Corcoran, Patrick

Corcoran, Patrick is an individual health care provider with primary practice located at 600 N Jackson St Ste 203 , Media PA 19063-2574. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Corcoran, Patrick can be contacted via phone (484) 444-2285.

Contact Information

Primary practice address
600 N Jackson St Ste 203 Media PA 19063-2574
Fax:
Website:

Health care specialties

Profile Details

NPI number 1003373614
LBN Legal business name Corcoran, Patrick
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2019
Last updated Mar 1st, 2019 - about 7 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 1003373614 NPPES
Other RBT-19-76001 BACB REGISTRATION NUMBER

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