Corbin, Shay Weston
Corbin, Shay Weston is an sole proprietor health care provider with primary practice located at 12216 Jackson Road , Saint Francisville LA 70775. He recently has only one registered license in Chiropractic Providers / Sports Physician, which is considered as his primary health care specialty. Corbin, Shay Weston can be contacted via phone (225) 635-4172.Contact Information
Primary practice address
12216 Jackson Road
Saint Francisville LA 70775
Phone: (225) 635-4172
Fax: (225) 635-4173
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Sports Physician | 111NS0005X | 1275 | Louisiana |
Profile Details
| NPI number | 1619046992 |
|---|---|
| LBN Legal business name | Corbin, Shay Weston |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 8th, 2006 |
| Last updated | May 25th, 2011 - about 13 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 | 1619046992 | NPPES |
| Other | 10982048 | CAQH | |
| Other | G2150 | CAQH |
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