Corpus, Keith Thomas

Corpus, Keith Thomas is an individual health care provider with primary practice located at 303 N William Kumpf Blvd , Peoria IL 61605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Sports Medicine, which is considered as his primary health care specialty. Corpus, Keith Thomas can be contacted via phone (309) 676-5546.

Contact Information

Primary practice address
303 N William Kumpf Blvd Peoria IL 61605
Phone: (309) 676-5546
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Sports Medicine 207XX0005X 036.148410 Illinois

Profile Details

NPI number 1043552227
LBN Legal business name Corpus, Keith Thomas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 26th, 2013
Last updated Nov 13th, 2019 - about 6 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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