Mccorkle, Barry S
Mccorkle, Barry S is an individual health care provider with primary practice located at 1222 S Patterson Blvd Suite 120, Dayton OH 45402-2684. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Infectious Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Mccorkle, Barry S can be contacted via phone (937) 208-8885.Contact Information
Primary practice address
1222 S Patterson Blvd Suite 120
Dayton OH 45402-2684
Phone: (937) 208-8885
Fax: (937) 208-8895
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Infectious Disease | 207RI0200X | 35.058581 | Ohio |
Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 35.058581 | Ohio |
Profile Details
NPI number | 1477592574 |
---|---|
LBN Legal business name | Mccorkle, Barry S |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 5th, 2006 |
Last updated | Jan 10th, 2020 - 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1477592574 | NPPES |
Ohio | MEDICAID | 0823952 |
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