Cornman, Mark James

Cornman, Mark James is an sole proprietor health care provider with primary practice located at 3106 Ridge Rd , Hartwell GA 30643-4121. He recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as his primary health care specialty. Cornman, Mark James can be contacted via phone (706) 371-6196.

Contact Information

Primary practice address
3106 Ridge Rd Hartwell GA 30643-4121
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC005713 Georgia

Profile Details

NPI number 1134497779
LBN Legal business name Cornman, Mark James
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 11th, 2011
Last updated Dec 11th, 2011 - about 14 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 1134497779 NPPES
Georgia Other 12317350 ATENA

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