Corpus, Bryan Allen

Corpus, Bryan Allen is an individual health care provider with primary practice located at 601 John St Suite E352, Kalamazoo MI 49007-5341. He recently has 2 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is his primary health care specialty. Corpus, Bryan Allen can be contacted via phone (269) 341-8986.

Contact Information

Primary practice address
601 John St Suite E352 Kalamazoo MI 49007-5341
Phone: (269) 341-8986
Fax: (269) 341-6236
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 4301090315 Michigan
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 4301090315 Michigan

Profile Details

NPI number 1104020353
LBN Legal business name Corpus, Bryan Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 12th, 2007
Last updated Nov 27th, 2023 - about 3 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 1104020353 NPPES
Michigan MEDICAID 1104020353
Michigan Other 1417961137

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