Korcek, Douglas Scott

Korcek, Douglas Scott is an individual health care provider with primary practice located at 122 Scott River Rd , Fort Jones CA 96032-9620. He recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, which is considered as his primary health care specialty. Korcek, Douglas Scott can be contacted via phone (530) 468-5528.

Contact Information

Primary practice address
122 Scott River Rd Fort Jones CA 96032-9620
Phone: (530) 468-5528
Fax: (530) 468-5445
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X PT9569 California

Profile Details

NPI number 1386640902
LBN Legal business name Korcek, Douglas Scott
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2005
Last updated May 6th, 2008 - about 17 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 1386640902 NPPES
California MEDICAID PT0095690

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