Corpus, Roberto A
Corpus, Roberto A is an individual health care provider with primary practice located at 3865 W Front St Ste 4And5 , Traverse City MI 49684-8101. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Corpus, Roberto A can be contacted via phone (231) 252-0414.Contact Information
Primary practice address
3865 W Front St Ste 4And5
Traverse City MI 49684-8101
Phone: (231) 252-0414
Fax: (231) 252-0416
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | 4301073600 | Michigan |
Profile Details
| NPI number | 1417995432 |
|---|---|
| LBN Legal business name | Corpus, Roberto A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 3rd, 2006 |
| Last updated | Dec 12th, 2023 - about last year |
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 | 1417995432 | NPPES |
| Michigan | Other | 060B86046 | GROUP BLUE SHIELD NUMBER |
| Michigan | MEDICAID | 4610699 | GROUP BLUE SHIELD NUMBER |
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