Cornelius, Blaine Michael

Cornelius, Blaine Michael is an individual health care provider with primary practice located at 619 10Th St , Gothenburg NE 69138-2063. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Cornelius, Blaine Michael can be contacted via phone (308) 537-3674.

Contact Information

Primary practice address
619 10Th St Gothenburg NE 69138-2063
Phone: (308) 537-3674
Fax: (308) 537-3675
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 1251 Nebraska

Profile Details

NPI number 1811941404
LBN Legal business name Cornelius, Blaine Michael
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date May 19th, 2006
Last updated Jan 31st, 2013 - about 13 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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