Cornelius, Wendy W.

Cornelius, Wendy W. is an individual health care provider with primary practice located at 2871 Acton Road Suite 100, Birmingham AL 35243-2560. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Cornelius, Wendy W. can be contacted via phone (205) 939-0023.

Contact Information

Primary practice address
2871 Acton Road Suite 100 Birmingham AL 35243-2560
Phone: (205) 939-0023
Fax: (205) 939-4180
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA-325 Alabama

Profile Details

NPI number 1164479218
LBN Legal business name Cornelius, Wendy W.
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated May 27th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1164479218 NPPES
Alabama MEDICAID 891004890
Alabama Other 051514938
Alabama Other 051512489
Alabama MEDICAID 009932896
Alabama Other 051514195
Alabama MEDICAID 009955735

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