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DR. GARY ALAN CORBY M.D.
>> Physical Medicine & Rehabilitation >> Allopathic & Osteopathic PhysiciansRegistrant NPI Number: 1760483275
Individual Registrant:DR. GARY ALAN CORBY M.D.
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
4018 WESTOAK VALLEY DR LANESVILLE, IN 47136-9475 US
Tel: 812-442-7476 Fax: 812-442-7545
Tel: 812-442-7476 Fax: 812-442-7545
Contact information for business:
PO BOX 399 SEELYVILLE, IN 47878-0399 US
Tel: 812-442-7476 Fax: 812-442-7545
Tel: 812-442-7476 Fax: 812-442-7545
Registration Information:
NPI: 1760483275
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 208100000X | Allopathic & Osteopathic Physicians Physical Medicine & Rehabilitation | IN | 01045450A |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
| RAILROAD MEDICARE | P00212153 | IN | 01 |
| BLUE CROSS BLUE SHIELD | 000000360341 | IN | 01 |
| TRICARE | P00212153 | IN | 01 |
| MEDICAID | 200223130 | IN | 01 |
| PALMETTO TRICARE | P00212153 | IN | 01 |
| BLACK LUNG | 607877500 | IN | 01 |
