Corkins, Mark R
Corkins, Mark R is an individual health care provider with primary practice located at 51 N Dunlap St Ste 400 , Memphis TN 38105-4625. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Gastroenterology, which is considered as his primary health care specialty. Corkins, Mark R can be contacted via phone (901) 287-5928.Contact Information
Primary practice address
51 N Dunlap St Ste 400
Memphis TN 38105-4625
Phone: (901) 287-5928
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatric Gastroenterology | 2080P0206X | 01051266 | Indiana |
Profile Details
| NPI number | 1346355963 |
|---|---|
| LBN Legal business name | Corkins, Mark R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 21st, 2006 |
| Last updated | Aug 12th, 2016 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1346355963 | NPPES |
| Michigan | MEDICAID | 4840830 | |
| Michigan | Other | 000000321537 | |
| Michigan | MEDICAID | 200238280 | |
| Michigan | Other | 350593390-042 | |
| Michigan | MEDICAID | 2655112 | |
| Michigan | MEDICAID | 64000185 |
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