1477664464 NPI number — MR. ARTHUR WILLIAM CORBIN JR. P.A.-C.

Table of content: MR. ARTHUR WILLIAM CORBIN JR. P.A.-C. (NPI 1477664464)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1477664464 NPI number — MR. ARTHUR WILLIAM CORBIN JR. P.A.-C.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
CORBIN
Provider First Name:
ARTHUR
Provider Middle Name:
WILLIAM
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
JR.
Provider Credential Text:
P.A.-C.
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
CORBIN
Provider Other First Name:
ARTHUR
Provider Other Middle Name:
WILLIAM
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
P.A.-C
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1477664464
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/26/2016
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1001 LAKESIDE AVE E
Provider Second Line Business Mailing Address:
#1200
Provider Business Mailing Address City Name:
CLEVELAND
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
44114-1158
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
216-479-5541
Provider Business Mailing Address Fax Number:
216-479-5554

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
10 SEVERANCE CIR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CLEVELAND HEIGHTS
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
44118-1533
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
216-621-5600
Provider Business Practice Location Address Fax Number:
216-297-8505
Provider Enumeration Date:
08/31/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 363A00000X , with the licence number:  50-001119 , registered in the state of OH ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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