Cornett, Amanda

Cornett, Amanda is an individual health care provider with primary practice located at 4464 S Dixie Hwy , Middletown OH 45005-5464. She recently has only one registered license in Nursing Service Providers / Licensed Practical Nurse, which is considered as her primary health care specialty. Cornett, Amanda can be contacted via phone (513) 649-8008.

Contact Information

Primary practice address
4464 S Dixie Hwy Middletown OH 45005-5464
Phone: (513) 649-8008
Fax: (513) 649-8004
Website:
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Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Licensed Practical Nurse 164W00000X LPN.108652.MEDS Ohio

Profile Details

NPI number 1558807594
LBN Legal business name Cornett, Amanda
Credentials Licensed Practical Nurse (LPN)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 15th, 2017
Last updated Feb 6th, 2017 - about 9 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 1558807594 NPPES
Ohio Other 0074861 MEDICAID-ODADAS
Ohio Other 0074946 MEDICAID-ODADAS
Ohio Other 01-0693 MEDICAID-ODADAS
Ohio Other H130910 MEDICAID-ODADAS

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