Cornell, James

Cornell, James is an individual health care provider with primary practice located at 2210 N Eldorado Ave , Klamath Falls OR 97601-6418. He recently has only one registered license in Behavioral Health & Social Service Providers / Social Worker, which is considered as his primary health care specialty. Cornell, James can be contacted via phone (541) 883-1030.

Contact Information

Primary practice address
2210 N Eldorado Ave Klamath Falls OR 97601-6418
Phone: (541) 883-1030
Fax: (541) 884-2338
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X

Profile Details

NPI number 1699019406
LBN Legal business name Cornell, James
Credentials BS
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 16th, 2012
Last updated Nov 16th, 2012 - about 14 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 1699019406 NPPES
Oregon MEDICAID 223354

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