Annis, Cory Lyn
Annis, Cory Lyn is an individual health care provider with primary practice located at 127 Fidelity St , Carrboro NC 27510-2002. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Annis, Cory Lyn can be contacted via phone (919) 933-8381.Contact Information
Primary practice address
127 Fidelity St
Carrboro NC 27510-2002
Phone: (919) 933-8381
Fax: (919) 933-6623
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 9401117 | North Carolina |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 9401117 | North Carolina |
Profile Details
| NPI number | 1215912050 |
|---|---|
| LBN Legal business name | Annis, Cory Lyn |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 14th, 2005 |
| Last updated | Feb 26th, 2013 - about 12 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 | 1215912050 | NPPES |
| North Carolina | Other | 91928 | MEDCOST INSURANCE |
| North Carolina | MEDICAID | 8911319 | MEDCOST INSURANCE |
| North Carolina | Other | 11319 | MEDCOST INSURANCE |
| North Carolina | Other | 370016487 | MEDCOST INSURANCE |
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