Aden-Wansbury, Cory

Aden-Wansbury, Cory is an sole proprietor health care provider with primary practice located at 6151 Dark Hollow Rd , Medford OR 97501-4866. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Otolaryngic Allergy, Ambulatory Health Care Facilities / Clinic/Center, Ambulatory Health Care Facilities / Prison Health. Ambulatory Health Care Facilities / Clinic/Center is his primary health care specialty. Aden-Wansbury, Cory can be contacted via phone (541) 512-8814.

Contact Information

Primary practice address
6151 Dark Hollow Rd Medford OR 97501-4866
Phone: (541) 512-8814
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngic Allergy 207YX0602X G22730 California
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X MD23944 Oregon
Ambulatory Health Care Facilities / Prison Health 261QP2400X MD23944 Oregon

Profile Details

NPI number 1033145578
LBN Legal business name Aden-Wansbury, Cory
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 25th, 2006
Last updated Aug 15th, 2008 - about 15 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 1033145578 NPPES
California MEDICAID 00G227300

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