National Provider Identifier Database

KATRINA CORLISS, MT – NPI #1013383934
Medical Technologist


Contact Information

KATRINA CORLISS, MT
29 BLACK COAL RD
LABORATORY
FORT WASHAKIE, WY82514
Phone: 307-335-5973
Fax: 307-332-7514
Website:
Specialty Taxonomy Code
* Medical Technologist 246QM0706X

* Indicates primary specialty

NPI Profile & details for KATRINA CORLISS

NPI Number 1013383934
Credentials MT
Entity Individual
Enumeration date 08/14/2015
Last updated 08/14/2015 - About 11 years ago
Sole proprietor1 No
Identifiers
  • MI License #: AAB 2050187
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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