Individual
COREY TOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2451 INTELLIPLEX DR, STE 260, SHELBYVILLE, IN 46176-8580
(317) 398-0121
(317) 398-0538
Mailing address
30 W RAMPART ST STE 200, SHELBYVILLE, IN 46176-8846
(317) 421-2012
(317) 398-1851
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
02008585A
IN
390200000X
Student in an Organized Health Care Education/Training Program
RS2025-0287
NM
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
02008585A
LICENSE
IN
01
—
11022794A
LICENSE
IN
Enumeration date
03/29/2023
Last updated
06/04/2026
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