Treadway, Corey K.

Treadway, Corey K. is an individual health care provider with primary practice located at 1104 Cass Street , Traverse City MI 49684. He recently has only one registered license in Allopathic & Osteopathic Physicians / Otolaryngology, which is considered as his primary health care specialty. Treadway, Corey K. can be contacted via phone (231) 941-1155.

Contact Information

Primary practice address
1104 Cass Street Traverse City MI 49684
Fax: (231) 259-1005
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Otolaryngology 207Y00000X 4301084179 Michigan

Profile Details

NPI number 1750599791
LBN Legal business name Treadway, Corey K.
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2007
Last updated Jun 20th, 2024 - about 6 months 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 1750599791 NPPES
Michigan MEDICAID 1750599791

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