Cornett, Mark S

Cornett, Mark S is an individual health care provider with primary practice located at 315 E Broadway , Louisville KY 40202-1703. He recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as his primary health care specialty. Cornett, Mark S can be contacted via phone (502) 629-2500.

Contact Information

Primary practice address
315 E Broadway Louisville KY 40202-1703
Phone: (502) 629-2500
Fax: (502) 629-3165
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Radiation Oncology 2085R0001X 28989 Kentucky

Profile Details

NPI number 1003873423
LBN Legal business name Cornett, Mark S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 28th, 2006
Last updated Jan 12th, 2021 - about 5 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 1003873423 NPPES
Kentucky Other 1757375 CIGNA PROVIDER NUMBER
Kentucky Other 920005753 CIGNA PROVIDER NUMBER
Kentucky Other 000000178939 CIGNA PROVIDER NUMBER
Kentucky Other 1118125 CIGNA PROVIDER NUMBER
Kentucky MEDICAID 64289895 CIGNA PROVIDER NUMBER
Kentucky Other 000020583J CIGNA PROVIDER NUMBER
Kentucky MEDICAID 200035990 CIGNA PROVIDER NUMBER
Kentucky Other 5941087 CIGNA PROVIDER NUMBER

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