Atty, Korial J

Atty, Korial J is an individual health care provider with primary practice located at 29425 Northwestern Hwy Suite 200, Southfield MI 48034-1080. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Atty, Korial J can be contacted via phone (248) 948-6900.

Contact Information

Primary practice address
29425 Northwestern Hwy Suite 200 Southfield MI 48034-1080
Phone: (248) 948-6900
Fax: (248) 948-6904
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X KA036080 Michigan

Profile Details

NPI number 1588613921
LBN Legal business name Atty, Korial J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 10th, 2006
Last updated May 15th, 2008 - about 17 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 1588613921 NPPES
Michigan Other 2334010005 CIGNA
Michigan MEDICAID 4188765 CIGNA
Michigan Other 214011 CIGNA
Michigan Other C8024 CIGNA
Michigan Other 0635164 CIGNA
Michigan Other 383472675 CIGNA
Michigan Other 120482-0007 CIGNA
Michigan Other B47270 CIGNA
Michigan Other 0635164 CIGNA
Michigan Other 101112 CIGNA

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