Corso, John L
Corso, John L is an individual health care provider with primary practice located at 18 Nw Oregon Ave , Bend OR 97701-2729. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Corso, John L can be contacted via phone (541) 389-7741.Contact Information
Primary practice address
18 Nw Oregon Ave
Bend OR 97701-2729
Phone: (541) 389-7741
Fax: (541) 338-3832
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD19275 | Oregon |
Profile Details
| NPI number | 1487624409 |
|---|---|
| LBN Legal business name | Corso, John L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 23rd, 2006 |
| Last updated | Jul 12th, 2010 - about 15 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1487624409 | NPPES |
| Oregon | MEDICAID | 070243 |
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