Provider Demographics
NPI:1346258845
Name:TURPIN, CORBIN J JR (MD)
Entity Type:Individual
Prefix:
First Name:CORBIN
Middle Name:J
Last Name:TURPIN
Suffix:JR
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:940 WINNFIELD RD
Mailing Address - Street 2:
Mailing Address - City:WEST MONROE
Mailing Address - State:LA
Mailing Address - Zip Code:71292-2284
Mailing Address - Country:US
Mailing Address - Phone:318-397-2284
Mailing Address - Fax:318-396-2717
Practice Address - Street 1:940 WINNFIELD RD
Practice Address - Street 2:
Practice Address - City:WEST MONROE
Practice Address - State:LA
Practice Address - Zip Code:71292-2284
Practice Address - Country:US
Practice Address - Phone:318-397-2284
Practice Address - Fax:318-396-2717
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAMD013183207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
B89889Medicare UPIN
55868Medicare ID - Type Unspecified