Corum, Michael Jordan
Corum, Michael Jordan is an individual health care provider with primary practice located at 25 Monument Rd Ste 290, York PA 17403-5060. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Orthopaedic Surgery, Allopathic & Osteopathic Physicians / Hand Surgery. Allopathic & Osteopathic Physicians / Hand Surgery is his primary health care specialty. Corum, Michael Jordan can be contacted via phone (717) 812-4090.Contact Information
Primary practice address
25 Monument Rd Ste 290
York PA 17403-5060
Phone: (717) 812-4090
Fax: (717) 812-4092
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | OS015990 | Pennsylvania |
Allopathic & Osteopathic Physicians / Hand Surgery | 207XS0106X | OS015990 | Pennsylvania |
Profile Details
NPI number | 1730490210 |
---|---|
LBN Legal business name | Corum, Michael Jordan |
Credentials | Doctor of Osteopathy (DO) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 29th, 2010 |
Last updated | Jul 21st, 2022 - about 3 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 | 1730490210 | NPPES |
Maryland | MEDICAID | 099187200 | |
Maryland | MEDICAID | 103024377 | |
Maryland | Other | PO1801118 |
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