Cornelison, Diane Lynn
Cornelison, Diane Lynn is an individual health care provider with primary practice located at 121 Cahill Rd Ste 204 , Branson MO 65616-1911. She recently has only one registered license in Allopathic & Osteopathic Physicians / Neurology, which is considered as her primary health care specialty. Cornelison, Diane Lynn can be contacted via phone (417) 335-7222.Contact Information
Primary practice address
121 Cahill Rd Ste 204
Branson MO 65616-1911
Phone: (417) 335-7222
Fax: (417) 335-7224
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Neurology | 2084N0400X | 100882 | Missouri |
Profile Details
| NPI number | 1568406791 |
|---|---|
| LBN Legal business name | Cornelison, Diane Lynn |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 16th, 2006 |
| Last updated | Sep 12th, 2022 - about 3 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 | 1568406791 | NPPES |
| Missouri | MEDICAID | 248623407 |
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