Cornelius, Albert S

Cornelius, Albert S is an individual health care provider with primary practice located at 100 Michigan St Ne Mc 109 Attn Julie L, Grand Rapids MI 49503-2560. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology, which is considered as his primary health care specialty. Cornelius, Albert S can be contacted via phone (616) 391-2653.

Contact Information

Primary practice address
100 Michigan St Ne Mc 109 Attn Julie L Grand Rapids MI 49503-2560
Phone: (616) 391-2653
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Hematology-Oncology 2080P0207X 4301047314 Michigan

Profile Details

NPI number 1417927781
LBN Legal business name Cornelius, Albert S
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 26th, 2006
Last updated Feb 23rd, 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 1417927781 NPPES
Michigan MEDICAID 3155017
Michigan Other 1104103272

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