National Provider Identifier Database

CORIZON HEALTHCARE
Public Health, State or Local


Contact Information

CORIZON HEALTHCARE
2690 MARION SPILLWAY RD
ELMORE, AL36025-1531
Phone: 334-567-2221
Fax:
Website:
Specialty Taxonomy Code
* Public Health, State or Local 261QP0905X

* Indicates primary specialty

NPI Profile & details for CORIZON HEALTHCARE

NPI Number 1770020372
Legal business name
LBN
CORIZON HEALTHCARE
Authorized official ANITA WILSON - (PHYSICAN)
Entity Organization
Organization subpart No
Enumeration date 01/21/2017
Last updated 01/21/2017 - About 9 years ago
Sole proprietor1 Not specified
Identifiers
  • AL License #: 1-107743

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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