Organization
CORBY REHABILITATION SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY ALAN CORBY MD (OWNER)
(812) 442-7476
Entity
Organization
Contact information
Practice address
4018 WESTOAK VALLEY DR, LANESVILLE, IN 47136-9475
(812) 442-7476
(812) 442-7545
Mailing address
PO BOX 399, SEELYVILLE, IN 47878-0399
(812) 442-7476
(812) 442-7545
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
01045450A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000360341
BLUE CROSS BLUE SHIELD
IN
01
—
200508870A
MEDICAID
IN
01
—
607877400
BLACK LUNG PROGRAM
IN
01
—
DD1727
HEALTH NET FEDERAL SERVIC
IN
Enumeration date
08/31/2006
Last updated
07/09/2024
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