Cornwall, Craig
Cornwall, Craig is an individual health care provider with primary practice located at 27 Park St , Hyannis MA 02601-5230. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Cornwall, Craig can be contacted via phone (508) 862-5981.Contact Information
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 150340 | Massachusetts |
Profile Details
| NPI number | 1750331443 |
|---|---|
| LBN Legal business name | Cornwall, Craig |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 11th, 2006 |
| Last updated | Apr 30th, 2008 - about 18 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 | 1750331443 | NPPES |
| Massachusetts | Other | J17570 | BLUE SHIELD |
| Massachusetts | MEDICAID | 3163598 | BLUE SHIELD |
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