Cornelius-Adkins, Torland E
Cornelius-Adkins, Torland E is an individual health care provider with primary practice located at 2640 W Point Rd , Green Bay WI 54304-1344. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Cornelius-Adkins, Torland E can be contacted via phone (920) 869-2711.Contact Information
Primary practice address
2640 W Point Rd
Green Bay WI 54304-1344
Phone: (920) 869-2711
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2783-123 | Wisconsin |
Profile Details
| NPI number | 1639169949 |
|---|---|
| LBN Legal business name | Cornelius-Adkins, Torland E |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 27th, 2005 |
| Last updated | Mar 31st, 2022 - about 2 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 | 1639169949 | NPPES |
| Wisconsin | MEDICAID | 39661500 |
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