Cornwell, James Nelson

Cornwell, James Nelson is an individual health care provider with primary practice located at 514 Plaza Ct , Sand Springs OK 74063. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cornwell, James Nelson can be contacted via phone (918) 215-5100.

Contact Information

Primary practice address
514 Plaza Ct Sand Springs OK 74063
Phone: (918) 215-5100
Fax: (918) 215-5105
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 6310 Oklahoma

Profile Details

NPI number 1669884987
LBN Legal business name Cornwell, James Nelson
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date May 21st, 2014
Last updated Feb 12th, 2019 - about 7 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 1669884987 NPPES
Oklahoma Other 675798 MEDICARE
Oklahoma MEDICAID 200769410A MEDICARE

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