Lum, Corey Jonathan
Lum, Corey Jonathan is an individual health care provider with primary practice located at 10040 Alta Dr Ste 350 , Las Vegas NV 89145-8658. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology, Allopathic & Osteopathic Physicians / Cardiovascular Disease. Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology is his primary health care specialty. Lum, Corey Jonathan can be contacted via phone (702) 360-7600.Contact Information
Primary practice address
10040 Alta Dr Ste 350
Las Vegas NV 89145-8658
Phone: (702) 360-7600
Fax: (702) 363-3814
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology | 207RA0001X | DOS-1665 | Hawaii |
| Allopathic & Osteopathic Physicians / Advanced Heart Failure and Transplant Cardiology | 207RA0001X | DO3065 | Nevada |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | DOS-1665 | Hawaii |
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | DO3065 | Nevada |
Profile Details
| NPI number | 1952668220 |
|---|---|
| LBN Legal business name | Lum, Corey Jonathan |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Apr 11th, 2012 |
| Last updated | Apr 24th, 2024 - about last year |
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 | 1952668220 | NPPES |
| Hawaii | MEDICAID | 819493 | |
| Hawaii | Other | DO03065 |
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