Individual
MICHAEL W CORBIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2520 VALLEY DR, SUITE 215, PT PLEASANT, WV 25550-2031
(304) 675-2229
(304) 675-5068
Mailing address
2520 VALLEY DR, SUITE 215, PT PLEASANT, WV 25550-2031
(304) 675-2229
(304) 675-5893
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
183778
NY
174400000X
Specialist
—
—
207V00000X
Obstetrics & Gynecology Physician
Primary
0101051224
VA
207V00000X
Obstetrics & Gynecology Physician
19349
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0093738002
—
WV
05
—
0093738003
—
WV
01
—
183778
LICENSE REGISTRATION
NY
05
—
2060040
—
OH
Enumeration date
05/24/2006
Last updated
03/19/2020
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