Cornwell, Ronald William

Cornwell, Ronald William is an individual health care provider with primary practice located at 4400 E Flamingo Ave Ste 200, Nampa ID 83687. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Cornwell, Ronald William can be contacted via phone (208) 302-2700.

Contact Information

Primary practice address
4400 E Flamingo Ave Ste 200 Nampa ID 83687
Fax: (208) 302-2725
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X M-6572 Idaho

Profile Details

NPI number 1215990981
LBN Legal business name Cornwell, Ronald William
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2006
Last updated Nov 8th, 2017 - about 9 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 1215990981 NPPES
Idaho MEDICAID 003627000

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