Corder, Robert L

Corder, Robert L is an individual health care provider with primary practice located at 902 Edmond St Ste 203 , Saint Joseph MO 64501-2762. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Addiction Medicine is his primary health care specialty. Corder, Robert L can be contacted via phone (816) 364-4300.

Contact Information

Primary practice address
902 Edmond St Ste 203 Saint Joseph MO 64501-2762
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X R6429 Missouri
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X R6429 Missouri

Profile Details

NPI number 1770508327
LBN Legal business name Corder, Robert L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2006
Last updated Jan 26th, 2022 - about 2 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 1770508327 NPPES
Other 44054528964506V014 TRICARE/CHAMPUS
Other 4570847 TRICARE/CHAMPUS
Other 465446 TRICARE/CHAMPUS
MEDICAID 200946119 TRICARE/CHAMPUS
Other P00036215 TRICARE/CHAMPUS
Other 206202 TRICARE/CHAMPUS
MEDICAID 100002320B TRICARE/CHAMPUS
Other 602260 TRICARE/CHAMPUS
Other 04119010 TRICARE/CHAMPUS
Other 10001223901 TRICARE/CHAMPUS

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