Cornelius, Antuan Eugenia
Cornelius, Antuan Eugenia is an sole proprietor health care provider with primary practice located at 813 Peachers Mill Rd , Clarksville TN 37042-5419. She recently has only one registered license in Other Service Providers / Contractor, which is considered as her primary health care specialty. Cornelius, Antuan Eugenia can be contacted via phone (931) 302-4500.Contact Information
Primary practice address
813 Peachers Mill Rd
Clarksville TN 37042-5419
Phone: (931) 302-4500
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Contractor | 171W00000X | 23765 | Tennessee |
Profile Details
| NPI number | 1306302021 |
|---|---|
| LBN Legal business name | Cornelius, Antuan Eugenia |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 18th, 2019 |
| Last updated | Feb 18th, 2019 - about 7 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 | 1306302021 | NPPES |
| Tennessee | Other | 62-183507 | VA |
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