Cornelius, Jan K
Cornelius, Jan K is an sole proprietor health care provider with primary practice located at 2401 S Dale Mabry Hwy , Tampa FL 33629-6845. She recently has only one registered license in Dental Providers / Periodontics, which is considered as her primary health care specialty. Cornelius, Jan K can be contacted via phone (813) 254-4568.Contact Information
Primary practice address
2401 S Dale Mabry Hwy
Tampa FL 33629-6845
Phone: (813) 254-4568
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Periodontics | 1223P0300X | 12140 | Florida |
Profile Details
| NPI number | 1023148244 |
|---|---|
| LBN Legal business name | Cornelius, Jan K |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 6th, 2007 |
| Last updated | Jul 8th, 2007 - about 19 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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