Corbett, Scott R
Corbett, Scott R is an individual health care provider with primary practice located at 3601 Park Center Blvd Ste 308 , Saint Louis Park MN 55416-2525. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, which is considered as his primary health care specialty. Corbett, Scott R can be contacted via phone (952) 920-0846.Contact Information
Primary practice address
3601 Park Center Blvd Ste 308
Saint Louis Park MN 55416-2525
Phone: (952) 920-0846
Fax: (952) 920-0846
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM | 204D00000X | 41370 | Minnesota |
Profile Details
NPI number | 1760564108 |
---|---|
LBN Legal business name | Corbett, Scott R |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 19th, 2006 |
Last updated | Oct 12th, 2019 - about 5 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 | 1760564108 | NPPES |
Minnesota | MEDICAID | 003560200 | |
Minnesota | Other | 70D62CO |
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