Rammell, Corey T

Rammell, Corey T is an individual health care provider with primary practice located at 393 E 2Nd N , Rexburg ID 83440-1605. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Rammell, Corey T can be contacted via phone (208) 356-3691.

Contact Information

Primary practice address
393 E 2Nd N Rexburg ID 83440-1605
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X M6388 Idaho

Profile Details

NPI number 1013008697
LBN Legal business name Rammell, Corey T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 27th, 2006
Last updated Apr 15th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1013008697 NPPES
Idaho Other M6388 STATE LICENSE #
Idaho MEDICAID 003900500 STATE LICENSE #
Idaho Other 000010000817 STATE LICENSE #

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