Corboy, Jane

Corboy, Jane is an individual health care provider with primary practice located at 1620 E 12Th St , The Dalles OR 97058-3213. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Corboy, Jane can be contacted via phone (541) 296-9151.

Contact Information

Primary practice address
1620 E 12Th St The Dalles OR 97058-3213
Phone: (541) 296-9151
Fax: (541) 296-9156
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X G3248 Texas
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD150490 Oregon

Profile Details

NPI number 1235219676
LBN Legal business name Corboy, Jane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 17th, 2006
Last updated Nov 13th, 2014 - about 11 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 1235219676 NPPES
Texas MEDICAID 137841611
Texas MEDICAID 137841605
Texas MEDICAID 218112

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