Correa, Edgar Xavier

Correa, Edgar Xavier is an individual health care provider with primary practice located at 11200 Governor Manly Way Suite 309, Raleigh NC 27614-8599. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Correa, Edgar Xavier can be contacted via phone (919) 562-9410.

Contact Information

Primary practice address
11200 Governor Manly Way Suite 309 Raleigh NC 27614-8599
Phone: (919) 562-9410
Fax: (919) 562-2948
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X 405 North Carolina

Profile Details

NPI number 1194708263
LBN Legal business name Correa, Edgar Xavier
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 22nd, 2005
Last updated Mar 17th, 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 1194708263 NPPES
Other 2652188 AETNA
Other 3377199011 AETNA
Other 0807J AETNA
Other 176036 AETNA
Other 46486 AETNA
Other 211980 AETNA
Other 2119980 AETNA
Other 4119980 AETNA

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