Kornick, Craig Allen
Kornick, Craig Allen is an individual health care provider with primary practice located at 7207 Golden Wings Road , Jacksonville FL 32244. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Kornick, Craig Allen can be contacted via phone (904) 389-1010.Contact Information
Primary practice address
7207 Golden Wings Road
Jacksonville FL 32244
Phone: (904) 389-1010
Fax: (904) 389-1082
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | ME82614 | Florida |
Profile Details
| NPI number | 1194722512 |
|---|---|
| LBN Legal business name | Kornick, Craig Allen |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 30th, 2005 |
| Last updated | Feb 24th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1194722512 | NPPES |
| Florida | Other | 5849952001 | CIGNA |
| Florida | Other | 217227 | CIGNA |
| Florida | MEDICAID | 26192880 | CIGNA |
| Florida | Other | 3046289 | CIGNA |
| Florida | Other | 01896 | CIGNA |
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