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
Phone: (816) 364-4300
Fax:
Website:
Health care specialties
Specialty | Code | License # | 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
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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