Cornish, Matthew Jared
Cornish, Matthew Jared is an individual health care provider with primary practice located at 1120 15Th St , Augusta GA 30912-6300. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Cornish, Matthew Jared can be contacted via phone (706) 721-8623.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 5424381-1205 | Utah |
| Allopathic & Osteopathic Physicians / Pediatrics | 208000000X | 94843 | Georgia |
Profile Details
| NPI number | 1073520573 |
|---|---|
| LBN Legal business name | Cornish, Matthew Jared |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 1st, 2006 |
| Last updated | Apr 14th, 2023 - about 2 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 | 1073520573 | NPPES |
| Utah | MEDICAID | D5468 |
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