Korb, Leroy J

Korb, Leroy J is an individual health care provider with primary practice located at 2 W Crescent Park , Warren PA 16365-2111. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Korb, Leroy J can be contacted via phone (814) 723-3300.

Contact Information

Primary practice address
2 W Crescent Park Warren PA 16365-2111
Phone: (814) 723-3300
Fax: (814) 723-8515
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X MD044119L Pennsylvania

Profile Details

NPI number 1770572430
LBN Legal business name Korb, Leroy J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2005
Last updated Feb 13th, 2013 - about 13 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 1770572430 NPPES
Pennsylvania Other 0812860 BLUE SHIELD
Pennsylvania Other 11207738 BLUE SHIELD
Pennsylvania Other 707311 BLUE SHIELD
Pennsylvania MEDICAID 001252334 BLUE SHIELD

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