Berkeley, Cory Joseph
Berkeley, Cory Joseph is an individual health care provider with primary practice located at 79440 Corporate Center Dr Ste 112, La Quinta CA 92253-7241. 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. Berkeley, Cory Joseph can be contacted via phone (760) 771-4484.Contact Information
Primary practice address
79440 Corporate Center Dr Ste 112
La Quinta CA 92253-7241
Phone: (760) 771-4484
Fax: (760) 771-4485
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist | 225100000X | PT24419 | California |
Profile Details
| NPI number | 1356325559 |
|---|---|
| LBN Legal business name | Berkeley, Cory Joseph |
| Credentials | DPT |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 1st, 2005 |
| Last updated | Sep 3rd, 2009 - about 15 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 | 1356325559 | NPPES |
| Other | 650025479 | RAILROAD MEDICARE | |
| Other | 0PT244190 | RAILROAD MEDICARE |
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