Corder, Frederick Alvin

Corder, Frederick Alvin is an individual health care provider with primary practice located at 3050 Corder Drive , Corinth MS 38834. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Corder, Frederick Alvin can be contacted via phone (662) 284-9902.

Contact Information

Primary practice address
3050 Corder Drive Corinth MS 38834
Phone: (662) 284-9902
Fax: (662) 284-9904
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gastroenterology 207RG0100X 16746 Mississippi

Profile Details

NPI number 1710961982
LBN Legal business name Corder, Frederick Alvin
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 1st, 2005
Last updated Jul 9th, 2007 - about 17 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 1710961982 NPPES
Mississippi MEDICAID 00122205
Mississippi Other 16746

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