Thom, Gregory Corbett
Thom, Gregory Corbett is an individual health care provider with primary practice located at 2845 Greenbrier Rd Ste 230 , Green Bay WI 54311-6519. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery. Allopathic & Osteopathic Physicians / Vascular Surgery is his primary health care specialty. Thom, Gregory Corbett can be contacted via phone (920) 288-8250.Contact Information
Primary practice address
2845 Greenbrier Rd Ste 230
Green Bay WI 54311-6519
Phone: (920) 288-8250
Fax: (920) 288-8257
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 65518-20 | Wisconsin |
| Allopathic & Osteopathic Physicians / Vascular Surgery | 2086S0129X | 65518-20 | Wisconsin |
Profile Details
| NPI number | 1689802977 |
|---|---|
| LBN Legal business name | Thom, Gregory Corbett |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 25th, 2009 |
| Last updated | Dec 12th, 2019 - about 7 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 | 1689802977 | NPPES |
| Wisconsin | MEDICAID | 100059317 |
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