Cornella, Amber Laura
Cornella, Amber Laura is an individual health care provider with primary practice located at 125 Broadway Ave , Pueblo CO 81004. She recently has only one registered license in Dental Providers / Dental Hygienist, which is considered as her primary health care specialty. Cornella, Amber Laura can be contacted via phone (719) 404-0087.Contact Information
Primary practice address
125 Broadway Ave
Pueblo CO 81004
Phone: (719) 404-0087
Fax: (719) 404-0087
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dental Hygienist | 124Q00000X | 903891 | Colorado |
Profile Details
| NPI number | 1942318225 |
|---|---|
| LBN Legal business name | Cornella, Amber Laura |
| Credentials | Registered Dental Hygienist (RDH) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 28th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1942318225 | NPPES |
| Colorado | MEDICAID | 02704749 |
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