Basic Information
| Provider Information | |||||||||
| NPI: | 1538433891 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | MICHAEL CORBIN M.D INC | ||||||||
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| OtherOrganizationName: | COMPREHENSIVE WOMENS CARE | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2520 VALLEY DRIVE | ||||||||
| Address2: | SUITE 215 | ||||||||
| City: | PT PLEASANT | ||||||||
| State: | WV | ||||||||
| PostalCode: | 25550 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3046752229 | ||||||||
| FaxNumber: | 3046755068 | ||||||||
| Practice Location | |||||||||
| Address1: | 2520 VALLEY DRIVE | ||||||||
| Address2: | SUITE 215 | ||||||||
| City: | PT PLEASANT | ||||||||
| State: | WV | ||||||||
| PostalCode: | 25550 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3046752229 | ||||||||
| FaxNumber: | 3046755068 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/05/2012 | ||||||||
| LastUpdateDate: | 02/28/2013 | ||||||||
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| AuthorizedOfficialLastName: | GARDNER | ||||||||
| AuthorizedOfficialFirstName: | LEIGH | ||||||||
| AuthorizedOfficialMiddleName: | ANN | ||||||||
| AuthorizedOfficialTitleorPosition: | A/R COORDINATOR | ||||||||
| AuthorizedOfficialTelephone: | 3046751020 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207V00000X | 19349 | WV | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Obstetrics & Gynecology |
No ID Information.