Coray, Robert Louis

Coray, Robert Louis is an sole proprietor health care provider with primary practice located at 859 S Yellowstone Hwy Ste 3301 , Rexburg ID 83440-6200. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Coray, Robert Louis can be contacted via phone (208) 356-9086.

Contact Information

Primary practice address
859 S Yellowstone Hwy Ste 3301 Rexburg ID 83440-6200
Fax: (208) 369-4498
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X M7679 Idaho

Profile Details

NPI number 1104938182
LBN Legal business name Coray, Robert Louis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Dec 9th, 2022 - about 4 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 1104938182 NPPES
Idaho MEDICAID 805495900

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