Cornejo, Carol J
Cornejo, Carol J is an individual health care provider with primary practice located at 7315 212Th St Sw Suite 201, Edmonds WA 98026-7610. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Cornejo, Carol J can be contacted via phone (425) 778-8116.Contact Information
Primary practice address
7315 212Th St Sw Suite 201
Edmonds WA 98026-7610
Phone: (425) 778-8116
Fax: (425) 775-9526
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD00031941 | Washington |
Profile Details
| NPI number | 1316916927 |
|---|---|
| LBN Legal business name | Cornejo, Carol J |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 16th, 2006 |
| Last updated | Oct 7th, 2011 - about 15 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 | 1316916927 | NPPES |
| Washington | MEDICAID | 8234551 |
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