Corry, Elwood J

Corry, Elwood J is an individual health care provider with primary practice located at 830 N 2000 W , Pleasant Grove UT 84062-4047. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Corry, Elwood J can be contacted via phone (801) 756-3511.

Contact Information

Primary practice address
830 N 2000 W Pleasant Grove UT 84062-4047
Phone: (801) 756-3511
Fax: (801) 443-1164
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 1764831205 Utah

Profile Details

NPI number 1609984988
LBN Legal business name Corry, Elwood J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 28th, 2006
Last updated Apr 29th, 2013 - about 12 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 1609984988 NPPES
Utah MEDICAID 08829
Utah Other 17643
Utah Other QM0000000728
Utah Other 107006223101
Utah Other 2657
Utah Other 87029387384062B005
Utah Other 870293873C01

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