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
Fax: (952) 920-0846
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760564108 NPPES
Minnesota MEDICAID 003560200
Minnesota Other 70D62CO

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