Kornish, Michael Stephen

Kornish, Michael Stephen is an sole proprietor health care provider with primary practice located at 107 6Th Ave Sw , Ronan MT 59864-2634. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Emergency Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is his primary health care specialty. Kornish, Michael Stephen can be contacted via phone (406) 676-4441.

Contact Information

Primary practice address
107 6Th Ave Sw Ronan MT 59864-2634
Phone: (406) 676-4441
Fax: (406) 676-0835
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 7286 Montana
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 7286 Montana

Profile Details

NPI number 1558449124
LBN Legal business name Kornish, Michael Stephen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 1st, 2006
Last updated Feb 26th, 2008 - about 17 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 1558449124 NPPES
Montana MEDICAID 43367

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