Provider Demographics
NPI:1962793281
Name:ALTHAUSER, CORINNE ERIN (DO)
Entity type:Individual
Prefix:DR
First Name:CORINNE
Middle Name:ERIN
Last Name:ALTHAUSER
Suffix:
Gender:F
Credentials:DO
Other - Prefix:
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Mailing Address - Street 1:3047 S DIXIE HWY APT 502
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33405-1568
Mailing Address - Country:US
Mailing Address - Phone:561-840-5950
Mailing Address - Fax:954-405-8648
Practice Address - Street 1:700 S ROSEMARY AVE STE 204
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33401-6310
Practice Address - Country:US
Practice Address - Phone:615-840-5950
Practice Address - Fax:954-405-8648
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-20
Last Update Date:2024-04-24
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLOS12769208000000X, 207PP0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207PP0204XAllopathic & Osteopathic PhysiciansEmergency MedicinePediatric Emergency Medicine
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics