Gump, William Corbly

Gump, William Corbly is an individual health care provider with primary practice located at 210 E Gray St Ste 1105 , Louisville KY 40202-3907. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Gump, William Corbly can be contacted via phone (502) 583-1697.

Contact Information

Primary practice address
210 E Gray St Ste 1105 Louisville KY 40202-3907
Phone: (502) 583-1697
Fax: (502) 583-2120
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 036123127 Illinois
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X 43547 Kentucky

Profile Details

NPI number 1932373255
LBN Legal business name Gump, William Corbly
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 17th, 2008
Last updated Jan 19th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932373255 NPPES
Kentucky Other 000052155Z HUMANA - NNIKY
Kentucky Other 000000675413 HUMANA - NNIKY
Kentucky Other 289438 HUMANA - NNIKY
Kentucky MEDICAID 7100128470 HUMANA - NNIKY
Kentucky Other 50029987 HUMANA - NNIKY
Kentucky MEDICAID 201019170 HUMANA - NNIKY
Kentucky Other 118047 HUMANA - NNIKY

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