Cornejo, Kristine M.
Cornejo, Kristine M. is an individual health care provider with primary practice located at 55 Lake Ave N Department Of Anatomic Pathology, Worcester MA 01655-0002. She recently has only one registered license in Allopathic & Osteopathic Physicians / Anatomic Pathology, which is considered as her primary health care specialty. Cornejo, Kristine M. can be contacted via phone (508) 793-6100.Contact Information
Primary practice address
55 Lake Ave N Department Of Anatomic Pathology
Worcester MA 01655-0002
Phone: (508) 793-6100
Fax: (508) 793-6110
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anatomic Pathology | 207ZP0101X | 254136 | Massachusetts |
Profile Details
| NPI number | 1427214592 |
|---|---|
| LBN Legal business name | Cornejo, Kristine M. |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 29th, 2008 |
| Last updated | Feb 25th, 2016 - 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 | 1427214592 | NPPES |
| Massachusetts | MEDICAID | 110095784A |
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