Cornell, Amanda
Cornell, Amanda is an sole proprietor health care provider with primary practice located at 420 Old Saybrook Road , Middletown CT 06457. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Cornell, Amanda can be contacted via phone (860) 636-2010.Contact Information
Primary practice address
420 Old Saybrook Road
Middletown CT 06457
Phone: (860) 636-2010
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Medical | 363AM0700X | 4819 | Connecticut |
Profile Details
| NPI number | 1710500863 |
|---|---|
| LBN Legal business name | Cornell, Amanda |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | May 23rd, 2020 |
| Last updated | Nov 19th, 2025 - about last year |
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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