Cornelison, Michael Joseph

Cornelison, Michael Joseph is an individual health care provider with primary practice located at 10353 Torre Ave Suite C, Cupertino CA 95014-3217. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery, which is considered as his primary health care specialty. Cornelison, Michael Joseph can be contacted via phone (408) 446-5811.

Contact Information

Primary practice address
10353 Torre Ave Suite C Cupertino CA 95014-3217
Phone: (408) 446-5811
Fax: (408) 996-1637
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Foot & Ankle Surgery 213ES0103X E4260 California

Profile Details

NPI number 1215020730
LBN Legal business name Cornelison, Michael Joseph
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Aug 10th, 2021 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1215020730 NPPES
California Other E4260 STATE LICENSE

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