Corsello, Edward
Corsello, Edward is an individual health care provider with primary practice located at 3333 Main St , Stratford CT 06614-4861. He recently has only one registered license in Chiropractic Providers / Internist, which is considered as his primary health care specialty. Corsello, Edward can be contacted via phone (203) 381-1800.Contact Information
Primary practice address
3333 Main St
Stratford CT 06614-4861
Phone: (203) 381-1800
Fax: (203) 381-1801
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Internist | 111NI0900X | CT1562 | Connecticut |
Profile Details
| NPI number | 1649337452 |
|---|---|
| LBN Legal business name | Corsello, Edward |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 2nd, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1649337452 | NPPES |
| Connecticut | Other | 050001562CT04 | ANTHEM ID |
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