Corley, Edward D

Corley, Edward D is an individual health care provider with primary practice located at 4114 Bridgeport Way West , University Place WA 98466. He recently has only one registered license in Chiropractic Providers / Rehabilitation, which is considered as his primary health care specialty. Corley, Edward D can be contacted via phone (253) 564-8100.

Contact Information

Primary practice address
4114 Bridgeport Way West University Place WA 98466
Fax: (253) 564-8387
Website:

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Rehabilitation 111NR0400X CH00003648 Washington

Profile Details

NPI number 1821151820
LBN Legal business name Corley, Edward D
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 19th, 2006
Last updated Feb 1st, 2008 - about 16 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 1821151820 NPPES
Washington Other CO5411 REGENCE

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