Anderson, Corey Rawlins

Anderson, Corey Rawlins is an individual health care provider with primary practice located at 1615 Truemper St Bldg 6418 , Jbsa Lackland TX 78236-5511. He recently has only one registered license in Dental Providers / Periodontics, which is considered as his primary health care specialty. Anderson, Corey Rawlins can be contacted via phone (757) 913-2847.

Contact Information

Primary practice address
1615 Truemper St Bldg 6418 Jbsa Lackland TX 78236-5511
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X 4736830-9922 Utah

Profile Details

NPI number 1932183282
LBN Legal business name Anderson, Corey Rawlins
Credentials D.S.S., M.S.
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 30th, 2005
Last updated Jul 20th, 2023 - 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.

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