Corey, Samuel Louis

Corey, Samuel Louis is an individual health care provider with primary practice located at 8040 Clearvista Pkwy Ste 310 , Indianapolis IN 46256-4673. He recently has only one registered license in Allopathic & Osteopathic Physicians / Plastic Surgery, which is considered as his primary health care specialty. Corey, Samuel Louis can be contacted via phone (317) 621-2200.

Contact Information

Primary practice address
8040 Clearvista Pkwy Ste 310 Indianapolis IN 46256-4673
Phone: (317) 621-2200
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Plastic Surgery 208200000X 01087348A Indiana

Profile Details

NPI number 1043620412
LBN Legal business name Corey, Samuel Louis
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 6th, 2014
Last updated Feb 6th, 2024 - about 7 months 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 1043620412 NPPES
Indiana MEDICAID 300086232

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