Corder, Phil M
Corder, Phil M is an sole proprietor health care provider with primary practice located at 117 Professional Dr , West Monroe LA 71291-5331. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Corder, Phil M can be contacted via phone (318) 387-8504.Contact Information
Primary practice address
117 Professional Dr
West Monroe LA 71291-5331
Phone: (318) 387-8504
Fax: (318) 387-4757
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 2397 | Louisiana |
Profile Details
| NPI number | 1871638130 |
|---|---|
| LBN Legal business name | Corder, Phil M |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 21st, 2007 |
| Last updated | Jul 8th, 2007 - about 18 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 | 1871638130 | NPPES |
| Louisiana | MEDICAID | 1823970 |
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