Korschgen, Camille M

Korschgen, Camille M is an individual health care provider with primary practice located at 1151 N Rock Rd , Wichita KS 67206-1262. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist, which is considered as her primary health care specialty. Korschgen, Camille M can be contacted via phone (316) 634-3400.

Contact Information

Primary practice address
1151 N Rock Rd Wichita KS 67206-1262
Phone: (316) 634-3400
Fax: (316) 634-1141
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Recreation Therapist 225800000X 41490

Profile Details

NPI number 1699817106
LBN Legal business name Korschgen, Camille M
Credentials CTRS
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 12th, 2007
Last updated Jul 8th, 2007 - 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 1699817106 NPPES
Other 41490 NATIONAL TR CERTIFICATION

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