Cornett, Edgar S

Cornett, Edgar S is an sole proprietor health care provider with primary practice located at 1710 Harper Rd , Beckley WV 25801-3357. He recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Urgent Care, Allopathic & Osteopathic Physicians / Anesthesiology. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Cornett, Edgar S can be contacted via phone (304) 256-4100.

Contact Information

Primary practice address
1710 Harper Rd Beckley WV 25801-3357
Phone: (304) 256-4100
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X 200100339 North Carolina
Allopathic & Osteopathic Physicians / Anesthesiology 207L00000X 19613 West Virginia

Profile Details

NPI number 1851386205
LBN Legal business name Cornett, Edgar S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 13th, 2005
Last updated Jan 23rd, 2012 - about 13 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 1851386205 NPPES
West Virginia MEDICAID 2002634000

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