Corkins, Lisa Brancato

Corkins, Lisa Brancato is an individual health care provider with primary practice located at 500 Congress St Suite 1F, Quincy MA 02169. She recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as her primary health care specialty. Corkins, Lisa Brancato can be contacted via phone (617) 471-3411.

Contact Information

Primary practice address
500 Congress St Suite 1F Quincy MA 02169
Phone: (617) 471-3411
Fax: (617) 471-3584
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 23933 South Carolina
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 232582 Massachusetts

Profile Details

NPI number 1003903998
LBN Legal business name Corkins, Lisa Brancato
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 10th, 2006
Last updated Dec 15th, 2011 - about 15 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 1003903998 NPPES
Massachusetts MEDICAID 2148935

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