Corrales, Gustavo A

Corrales, Gustavo A is an sole proprietor health care provider with primary practice located at 410 S Washington St , Falls Church VA 22046. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Corrales, Gustavo A can be contacted via phone (703) 532-0728.

Contact Information

Primary practice address
410 S Washington St Falls Church VA 22046
Phone: (703) 532-0728
Fax: (888) 972-9036
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X MT187242 Pennsylvania
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 003086 New York

Profile Details

NPI number 1326249889
LBN Legal business name Corrales, Gustavo A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 30th, 2007
Last updated Sep 7th, 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 1326249889 NPPES
New York Other 650A21 EMPIRE BLUE CROSS BLUE SHIELD

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