Green, Corbin Charles

Green, Corbin Charles is an individual health care provider with primary practice located at 82 S 800 W , Brigham City UT 84302-2400. He recently has only one registered license in Other Service Providers / Community Health Worker, which is considered as his primary health care specialty. Green, Corbin Charles can be contacted via phone (435) 723-8548.

Contact Information

Primary practice address
82 S 800 W Brigham City UT 84302-2400
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1407358971
LBN Legal business name Green, Corbin Charles
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 1st, 2018
Last updated Mar 1st, 2018 - about 7 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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