Corey, Mark Jeffrey

Corey, Mark Jeffrey is an individual health care provider with primary practice located at 1 Guthrie Sq , Sayre PA 18840-1625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Corey, Mark Jeffrey can be contacted via phone (705) 887-2239.

Contact Information

Primary practice address
1 Guthrie Sq Sayre PA 18840-1625
Phone: (705) 887-2239
Fax: (570) 887-3285
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 216573-1 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD-066447L Pennsylvania
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD066447L Pennsylvania

Profile Details

NPI number 1629042585
LBN Legal business name Corey, Mark Jeffrey
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 15th, 2006
Last updated Mar 23rd, 2021 - about 4 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 1629042585 NPPES
New York Other CC8362 RR MEDICARE GROUP
New York Other CC9269 RR MEDICARE GROUP
New York MEDICAID 0017395360003 RR MEDICARE GROUP
New York Other 080173598 RR MEDICARE GROUP
New York Other P00402922 RR MEDICARE GROUP
New York MEDICAID 01927182 RR MEDICARE GROUP
New York Other GU039851 RR MEDICARE GROUP

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