Corn, Carolyn Ruth

Corn, Carolyn Ruth is an individual health care provider with primary practice located at 4050 W Memorial Rd Fl 3 , Oklahoma City OK 73120-8382. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Cardiovascular Disease, Allopathic & Osteopathic Physicians / Nuclear Cardiology. Allopathic & Osteopathic Physicians / Nuclear Cardiology is her primary health care specialty. Corn, Carolyn Ruth can be contacted via phone (405) 608-3800.

Contact Information

Primary practice address
4050 W Memorial Rd Fl 3 Oklahoma City OK 73120-8382
Fax: (405) 608-3831
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 11990 Oklahoma
Allopathic & Osteopathic Physicians / Nuclear Cardiology 207UN0901X 11990 Oklahoma

Profile Details

NPI number 1225022585
LBN Legal business name Corn, Carolyn Ruth
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 1st, 2005
Last updated Jun 6th, 2022 - about 3 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 1225022585 NPPES
Oklahoma Other 060045004 RAILROAD MEDICARE
Oklahoma MEDICAID 100827670B RAILROAD MEDICARE

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