Cornillie, Megan

Cornillie, Megan is an sole proprietor health care provider with primary practice located at 11300 Ne 2Nd Ave , Miami Shores FL 33161-6628. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Cornillie, Megan can be contacted via phone (248) 758-8952.

Contact Information

Primary practice address
11300 Ne 2Nd Ave Miami Shores FL 33161-6628
Phone: (248) 758-8952
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085.008182 Illinois

Profile Details

NPI number 1255924924
LBN Legal business name Cornillie, Megan
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 14th, 2021
Last updated Feb 14th, 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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