Cornwell, Robert R
Cornwell, Robert R is an individual health care provider with primary practice located at 1900 Woodland Dr , Manitowoc WI 54220-9662. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Cornwell, Robert R can be contacted via phone (920) 320-6212.Contact Information
Primary practice address
1900 Woodland Dr
Manitowoc WI 54220-9662
Phone: (920) 320-6212
Fax: (920) 684-5548
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 28727 | Wisconsin |
Profile Details
| NPI number | 1568448025 |
|---|---|
| LBN Legal business name | Cornwell, Robert R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 16th, 2005 |
| Last updated | Jun 7th, 2012 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1568448025 | NPPES |
| Wisconsin | Other | P00835713 | RR MEDICARE |
| Wisconsin | MEDICAID | 207R00000X | RR MEDICARE |
| Wisconsin | Other | 1568448025 | RR MEDICARE |
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