Corey, Deanna L

Corey, Deanna L is an individual health care provider with primary practice located at 725 Albany St Shapiro 4, Suite 4B, Boston MA 02118-2526. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Sports Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Corey, Deanna L can be contacted via phone (617) 638-5633.

Contact Information

Primary practice address
725 Albany St Shapiro 4, Suite 4B Boston MA 02118-2526
Phone: (617) 638-5633
Fax: (617) 414-5226
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 261121 Massachusetts
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 261121 Massachusetts

Profile Details

NPI number 1437460680
LBN Legal business name Corey, Deanna L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 23rd, 2010
Last updated Oct 10th, 2014 - 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 1437460680 NPPES
Pennsylvania Other MT196644 COMMONWEALTH OF PENNSYLVANIA DEPARTMENT OF STATE

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