Dubose, Cory Ryan

Dubose, Cory Ryan is an individual health care provider with primary practice located at 2900 W Oklahoma Ave , Milwaukee WI 53215-4330. He recently has only one registered license in Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine, which is considered as his primary health care specialty. Dubose, Cory Ryan can be contacted via phone (414) 649-6000.

Contact Information

Primary practice address
2900 W Oklahoma Ave Milwaukee WI 53215-4330
Phone: (414) 649-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Undersea and Hyperbaric Medicine 2083P0011X 67295 Wisconsin

Profile Details

NPI number 1811356736
LBN Legal business name Dubose, Cory Ryan
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2016
Last updated Dec 1st, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811356736 NPPES
Wisconsin MEDICAID 100055842

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