Cornacchia, Michelle
Cornacchia, Michelle is an individual health care provider with primary practice located at 100 North Academy Ave , Danville PA 17822-1401. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Student, Health Care / Student in an Organized Health Care Education/Training Program. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Cornacchia, Michelle can be contacted via phone (570) 271-6164.Contact Information
Primary practice address
100 North Academy Ave
Danville PA 17822-1401
Phone: (570) 271-6164
Fax: (570) 271-6141
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | BP10046578 | Texas |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | BP10046578 | Texas |
| Student, Health Care / Student in an Organized Health Care Education/Training Program | 390200000X | BP10046578 | Texas |
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | MD460596 | Pennsylvania |
Profile Details
| NPI number | 1144665977 |
|---|---|
| LBN Legal business name | Cornacchia, Michelle |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 7th, 2013 |
| Last updated | Aug 31st, 2020 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1144665977 | NPPES |
| Texas | Other | 574037 | PHYSICIAN IN TRAINING BASIC POSTGRADUATE TRAINING PERMIT |
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