Thacker, Corey

Thacker, Corey is an sole proprietor health care provider with primary practice located at 1912 Nw Circle Dr N , Poulsbo WA 98370-9527. He recently has only one registered license in Other Service Providers / Independent Duty Corpsman, which is considered as his primary health care specialty. Thacker, Corey can be contacted via phone (407) 325-9229.

Contact Information

Primary practice address
1912 Nw Circle Dr N Poulsbo WA 98370-9527
Phone: (407) 325-9229
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Independent Duty Corpsman 1710I1002X

Profile Details

NPI number 1235599234
LBN Legal business name Thacker, Corey
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 3rd, 2016
Last updated Mar 3rd, 2016 - about 8 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.

Request for update

Popular Providers