Provider Demographics
NPI:1154673515
Name:CORBIN, WESLEY HEATH (DC)
Entity Type:Individual
Prefix:DR
First Name:WESLEY
Middle Name:HEATH
Last Name:CORBIN
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7837 BARRINGTON LN
Mailing Address - Street 2:
Mailing Address - City:DAPHNE
Mailing Address - State:AL
Mailing Address - Zip Code:36526-8358
Mailing Address - Country:US
Mailing Address - Phone:847-848-5775
Mailing Address - Fax:
Practice Address - Street 1:2005 HWY 31 S
Practice Address - Street 2:
Practice Address - City:BAY MINETTE
Practice Address - State:AL
Practice Address - Zip Code:36507-3650
Practice Address - Country:US
Practice Address - Phone:251-447-1172
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-10
Last Update Date:2021-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL2403111N00000X
IL038.012278111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor