Corum, Brent Howard
Corum, Brent Howard is an sole proprietor health care provider with primary practice located at 540 E Jefferson St Ste 302 , Iowa City IA 52245-2460. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Corum, Brent Howard can be contacted via phone (319) 339-3611.Contact Information
Primary practice address
540 E Jefferson St Ste 302
Iowa City IA 52245-2460
Phone: (319) 339-3611
Fax: (319) 339-3878
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | 083668 | Iowa |
Profile Details
| NPI number | 1265970768 |
|---|---|
| LBN Legal business name | Corum, Brent Howard |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 3rd, 2017 |
| Last updated | Oct 3rd, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1265970768 | NPPES |
| Iowa | MEDICAID | 06-65463 |
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