Cornwell, Derok S

Cornwell, Derok S is an individual health care provider with primary practice located at 100 Medical Center Dr Suite 101, Gadsden AL 35903-1130. He recently has 2 registered licenses in different health care specialties including Physician Assistants & Advanced Practice Nursing Providers / Surgical, Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant. Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant is his primary health care specialty. Cornwell, Derok S can be contacted via phone (256) 492-8590.

Contact Information

Primary practice address
100 Medical Center Dr Suite 101 Gadsden AL 35903-1130
Phone: (256) 492-8590
Fax: (256) 492-4498
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Surgical 363AS0400X PA- 885 Alabama
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X Alabama

Profile Details

NPI number 1174591366
LBN Legal business name Cornwell, Derok S
Credentials Physician Assistant (PA)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 14th, 2006
Last updated Oct 24th, 2016 - about 10 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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