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NPI Code Detail

MEDICARE: DR. NATHAN R CORBIN D.C.

MEDICARE:  DR. NATHAN R CORBIN  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor011197NY
2111N00000XChiropractor038011162IL

General Provider Information

NPI Number : 1699743823
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. NATHAN R CORBIN D.C.
Provider Business Mailing Address
First Line : 3870 WAGON TRL
Second Line :
City : SPRINGFIELD
State : IL
Zip : 62712-8300
Country : US
Telephone Number : 773-209-0851
Fax Number :
Provider Business Practice Location Address
First Line : 207 S WALNUT ST
Second Line :
City : ROCHESTER
State : IL
Zip : 62563-7501
Country : US
Telephone Number : 585-889-3280
Fax Number : 585-889-7759
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/14/2006
Last Update Date : 11/02/2012

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Directions to “ DR. NATHAN R CORBIN D.C.” Practice Location

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