Corwin, Bruce C
Corwin, Bruce C is an individual health care provider with primary practice located at 15728 S Route 59 , Plainfield IL 60544-2693. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Corwin, Bruce C can be contacted via phone (815) 436-8831.Contact Information
Primary practice address
15728 S Route 59
Plainfield IL 60544-2693
Phone: (815) 436-8831
Fax: (815) 436-6863
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 036068055 | Illinois |
Profile Details
| NPI number | 1588713374 |
|---|---|
| LBN Legal business name | Corwin, Bruce C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 9th, 2007 |
| Last updated | Mar 12th, 2021 - about 4 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 | 1588713374 | NPPES |
| Other | 399980 | MEDICARE GROUP PTAN | |
| MEDICAID | 036068055 | MEDICARE GROUP PTAN |
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