Active NPIIndividual providerSole proprietor

Corey Staub

Specialist/Technologist, Athletic Trainer in West Warwick, Rhode Island

NPI Number1114325305
Practice location
6 Drawbridge Dr, West Warwick, RI 02893-5579
Fax
—
Last updated
December 20, 2014

Corey Staub is a Specialist/Technologist, Athletic Trainer based in West Warwick, RI. Corey Staub practices in West Warwick, RI. The NPI Number for Corey Staub is 1114325305 and holds a License No. 3190437 (RI). The current practice location address for Corey Staub is 6 Drawbridge Dr, West Warwick, RI 02893-5579 and can be reached out via phone at 401-524-5417.

Provider Profile Details

NPI Number
1114325305
Provider Name
Corey Staub
Provider Entity Type
Individual
Gender
Male
Address
6 Drawbridge Dr, West Warwick, RI 02893-5579
Phone Number
401-524-5417
Primary Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X
Sole Proprietor
Yes
Provider Enumeration Date
December 20, 2014
Last Update Date
December 20, 2014
NPI Status
Active

Provider Business Practice Location Address Details

Address
6 Drawbridge Dr
West Warwick, RI 02893-5579
Zip
02893-5579
Phone Number
401-524-5417
West Warwick, RI 02893Get directions →

Provider Business Mailing Address Details

Address
6 Drawbridge Dr
West Warwick, RI 02893-5579
City
West Warwick
State
RI
Zip
02893-5579

License Information

License Number
3190437
License State
RI
Taxonomy
Specialist/Technologist, Athletic Trainer · 2255A2300X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Corey Staub?

The NPI number of Corey Staub is 1114325305. It was assigned on December 20, 2014 and is currently active in the NPPES registry.

What is the specialty of Corey Staub?

Corey Staub is registered under the primary taxonomy Specialist/Technologist, Athletic Trainer (code 2255A2300X), licensed in RI under license number 3190437.

Where does Corey Staub practice?

The practice location is 6 Drawbridge Dr, West Warwick, RI 02893-5579. The office can be reached at 401-524-5417 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1114325305 directly on the NPPES registry website.

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