Corum, Larry R

Corum, Larry R is an individual health care provider with primary practice located at 20375 W 151St St Suite 208, Olathe KS 66061-7218. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Corum, Larry R can be contacted via phone (913) 780-4000.

Contact Information

Primary practice address
20375 W 151St St Suite 208 Olathe KS 66061-7218
Phone: (913) 780-4000
Fax: (913) 780-4038
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 04-30533 Kansas

Profile Details

NPI number 1063413151
LBN Legal business name Corum, Larry R
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 10th, 2005
Last updated Jan 18th, 2016 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063413151 NPPES
Kansas Other 34068015 BC/BS OF KC
Kansas MEDICAID 200266340D BC/BS OF KC

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