Cordray, Monte L

Cordray, Monte L is an individual health care provider with primary practice located at 1429 No 6Th St , Terre Haute IN 47807-1037. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Cordray, Monte L can be contacted via phone (812) 242-3130.

Contact Information

Primary practice address
1429 No 6Th St Terre Haute IN 47807-1037
Fax: (812) 242-3596
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 01034844A Indiana
Allopathic & Osteopathic Physicians / Urology 208800000X 36065200 Illinois

Profile Details

NPI number 1134236557
LBN Legal business name Cordray, Monte L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2006
Last updated Mar 14th, 2013 - about 11 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 1134236557 NPPES
Indiana MEDICAID 100251610
Indiana Other 340009237
Indiana Other 340009239
Indiana Other 000000089622
Indiana Other 340009241
Indiana Other 340009771
Indiana Other P00828498

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