Colbert, James Corey

Colbert, James Corey is an sole proprietor health care provider with primary practice located at 2525 S Market St Ste 100, Rogers AR 72758-8163. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics, which is considered as his primary health care specialty. Colbert, James Corey can be contacted via phone (479) 770-5655.

Contact Information

Primary practice address
2525 S Market St Ste 100 Rogers AR 72758-8163
Phone: (479) 770-5655
Fax: (479) 770-5656
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Pediatrics 225XP0200X OTR1941 Arkansas

Profile Details

NPI number 1871559534
LBN Legal business name Colbert, James Corey
Credentials OTR/L
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 21st, 2006
Last updated Apr 15th, 2016 - about 8 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 1871559534 NPPES
Arkansas Other 5Y103 BLUE CROSS BLUE SHEILD
Arkansas MEDICAID 155213721 BLUE CROSS BLUE SHEILD

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