Corcoran, Michael David

Corcoran, Michael David is an individual health care provider with primary practice located at 1700 Henry Luckow Ln , Belvidere IL 61008. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Corcoran, Michael David can be contacted via phone (779) 696-8650.

Contact Information

Primary practice address
1700 Henry Luckow Ln Belvidere IL 61008
Phone: (779) 696-8650
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 997-25 Wisconsin
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X 016-005546 Illinois

Profile Details

NPI number 1528374196
LBN Legal business name Corcoran, Michael David
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2010
Last updated Feb 18th, 2021 - about 3 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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