Cornelison, Vance Lee

Cornelison, Vance Lee is an individual health care provider with primary practice located at 11523 Kanis Rd Suite D, Little Rock AR 72211-3724. He recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as his primary health care specialty. Cornelison, Vance Lee can be contacted via phone (501) 221-8640.

Contact Information

Primary practice address
11523 Kanis Rd Suite D Little Rock AR 72211-3724
Phone: (501) 221-8640
Fax: (501) 221-4379
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Chiropractic Providers / Chiropractor 111N00000X 1606 Arkansas

Profile Details

NPI number 1538119227
LBN Legal business name Cornelison, Vance Lee
Credentials Doctor of Chiropractic (DC)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Jan 2nd, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538119227 NPPES
Arkansas MEDICAID 152951718

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