Walker, Corey Wyn
Walker, Corey Wyn is an individual health care provider with primary practice located at 1350 N 500 E , Logan UT 84341-2400. He recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as his primary health care specialty. Walker, Corey Wyn can be contacted via phone (435) 792-1518.Contact Information
Primary practice address
1350 N 500 E
Logan UT 84341-2400
Phone: (435) 792-1518
Fax: (435) 792-1647
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Rheumatology | 207RR0500X | 6135223-1205 | Utah |
Profile Details
| NPI number | 1295707677 |
|---|---|
| LBN Legal business name | Walker, Corey Wyn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 1st, 2006 |
| Last updated | Mar 9th, 2012 - about 14 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 | 1295707677 | NPPES |
| Utah | MEDICAID | 942854058659 |
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