Amburgey, Corbett Walter

Amburgey, Corbett Walter is an sole proprietor health care provider with primary practice located at 5575 Beckley Rd , Battle Creek MI 49015-4162. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Amburgey, Corbett Walter can be contacted via phone (269) 979-1277.

Contact Information

Primary practice address
5575 Beckley Rd Battle Creek MI 49015-4162
Fax: (269) 979-8040
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 4901004183 Michigan

Profile Details

NPI number 1700920311
LBN Legal business name Amburgey, Corbett Walter
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 16th, 2007
Last updated Jul 8th, 2007 - about 18 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 1700920311 NPPES
Michigan Other 900A311420 BLUE CROSS BLUE SHIELD

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