Crain, Corey K
Crain, Corey K is an individual health care provider with primary practice located at 1721 Ebenezer Rd Ste 175 , Rock Hill SC 29732-1188. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Crain, Corey K can be contacted via phone (803) 324-5256.Contact Information
Primary practice address
1721 Ebenezer Rd Ste 175
Rock Hill SC 29732-1188
Phone: (803) 324-5256
Fax: (803) 328-0440
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 12371 | South Carolina |
Profile Details
| NPI number | 1477661197 |
|---|---|
| LBN Legal business name | Crain, Corey K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2006 |
| Last updated | Mar 11th, 2015 - about 10 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 | 1477661197 | NPPES |
| South Carolina | MEDICAID | 123716 |
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