Corson, Thomas Jacob

Corson, Thomas Jacob is an individual health care provider with primary practice located at 2000 Boise Ave , Loveland CO 80538-5006. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Corson, Thomas Jacob can be contacted via phone (970) 635-4071.

Contact Information

Primary practice address
2000 Boise Ave Loveland CO 80538-5006
Phone: (970) 635-4071
Fax: (970) 635-4177
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 047701 Connecticut
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 48063 Colorado

Profile Details

NPI number 1265624811
LBN Legal business name Corson, Thomas Jacob
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 16th, 2007
Last updated Mar 13th, 2018 - 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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Identifiers

StateTypeNumberIssuer
All States NPI 1265624811 NPPES
Colorado MEDICAID 86452550
Colorado Other 021193

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