Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 111N00000X | Chiropractor | DC-1296 | HI |
N | 111NR0200X | Radiology | 2301008926 | MI |
N | 213ER0200X | Radiology | 2301008926 | MI |
Y | 111NR0200X | Radiology | DC-1296 | HI |
Y | 213ER0200X | Radiology | DC-1296 | HI |
NPI | 1538106141 |
---|---|
Provider Name | Dr. Susan Lynn Corbin |
First Address | Kailua, HI 96734-2716 |
Second Address | Kailua, HI 96734-2716 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 01/06/2006 |
Last Update Date | 03/03/2016 |