Cornell, Lori A
Cornell, Lori A is an individual health care provider with primary practice located at 2901 Hunters Trl , Portage WI 53901-3403. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Cornell, Lori A can be contacted via phone (608) 742-5518.Contact Information
Primary practice address
2901 Hunters Trl
Portage WI 53901-3403
Phone: (608) 742-5518
Fax: (608) 742-4087
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Counselor | 101Y00000X | 8279-125 | Wisconsin |
Profile Details
| NPI number | 1376052035 |
|---|---|
| LBN Legal business name | Cornell, Lori A |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 26th, 2017 |
| Last updated | Jan 23rd, 2024 - about 2 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376052035 | NPPES |
| Wisconsin | MEDICAID | 1376052035 |
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