Coryell, Brett Roberts
Coryell, Brett Roberts is an individual health care provider with primary practice located at 2493 Milford Rd Ste 300 , East Stroudsburg PA 18301-9720. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Coryell, Brett Roberts can be contacted via phone (570) 223-7211.Contact Information
Primary practice address
2493 Milford Rd Ste 300
East Stroudsburg PA 18301-9720
Phone: (570) 223-7211
Fax: (570) 223-7545
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | DC 003861-L | Pennsylvania |
Profile Details
| NPI number | 1376552042 |
|---|---|
| LBN Legal business name | Coryell, Brett Roberts |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 5th, 2006 |
| Last updated | Oct 31st, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376552042 | NPPES |
| Pennsylvania | Other | CO006938 | BLUE SHIELD PIN |
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