Corrales-Diaz, John Joseph

Corrales-Diaz, John Joseph is an individual health care provider with primary practice located at 19245 7Th Ave Ne , Poulsbo WA 98370-6551. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Corrales-Diaz, John Joseph can be contacted via phone (360) 782-3500.

Contact Information

Primary practice address
19245 7Th Ave Ne Poulsbo WA 98370-6551
Phone: (360) 782-3500
Fax: (360) 782-3540
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X MD00021573 Washington

Profile Details

NPI number 1013967512
LBN Legal business name Corrales-Diaz, John Joseph
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 12th, 2006
Last updated Mar 6th, 2023 - about 3 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 1013967512 NPPES
Other CO7915 REGENCE BLUE SHIELD
Other 4586742 REGENCE BLUE SHIELD
MEDICAID 1000428 REGENCE BLUE SHIELD

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