Wirt, Cory

Wirt, Cory is an individual health care provider with primary practice located at 6049 Harbour Park Drive , Midlothian VA 23112. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Wirt, Cory can be contacted via phone (804) 639-2359.

Contact Information

Primary practice address
6049 Harbour Park Drive Midlothian VA 23112
Phone: (804) 639-2359
Fax: (804) 639-2029
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305202875 Virginia

Profile Details

NPI number 1215990122
LBN Legal business name Wirt, Cory
Credentials PT, MS PT, TPI-CGFI
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Oct 27th, 2014 - about 11 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 1215990122 NPPES
Virginia Other P00398183 RAILROAD MEDICARE
Virginia Other 192944 RAILROAD MEDICARE
Virginia MEDICAID 010157692 RAILROAD MEDICARE
Virginia Other 3909474 RAILROAD MEDICARE

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