Corkern, Robert

Corkern, Robert is an individual health care provider with primary practice located at 1400 E Union St , Greenville MS 38703-3246. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Corkern, Robert can be contacted via phone (662) 725-3146.

Contact Information

Primary practice address
1400 E Union St Greenville MS 38703-3246
Phone: (662) 725-3146
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 12101 Mississippi
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 12101 Mississippi

Profile Details

NPI number 1700962248
LBN Legal business name Corkern, Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 27th, 2006
Last updated Dec 30th, 2020 - about 5 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 1700962248 NPPES
Mississippi MEDICAID 00110277

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