Cortellesi, Thomas Brian

Cortellesi, Thomas Brian is an individual health care provider with primary practice located at One Clinic Drive Claypool Hill, Richlands VA 24641-1100. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Gastroenterology. Allopathic & Osteopathic Physicians / Gastroenterology is his primary health care specialty. Cortellesi, Thomas Brian can be contacted via phone (276) 964-6771.

Contact Information

Primary practice address
One Clinic Drive Claypool Hill Richlands VA 24641-1100
Phone: (276) 964-6771
Fax: (276) 964-1253
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 0102037199 Virginia
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 0102037199 Virginia

Profile Details

NPI number 1588646459
LBN Legal business name Cortellesi, Thomas Brian
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2005
Last updated Jul 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1588646459 NPPES
Other 226888 ANTHEM BCBS
MEDICAID 64666183 ANTHEM BCBS
MEDICAID 5831636 ANTHEM BCBS
MEDICAID 6000379-000 ANTHEM BCBS

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