Cornelius, Cristine L

Cornelius, Cristine L is an individual health care provider with primary practice located at 150 E Jefferson St , Spring Green WI 53588-8000. She recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as her primary health care specialty. Cornelius, Cristine L can be contacted via phone (608) 588-7413.

Contact Information

Primary practice address
150 E Jefferson St Spring Green WI 53588-8000
Phone: (608) 588-7413
Fax: (608) 588-7609
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 39030 Wisconsin

Profile Details

NPI number 1710988464
LBN Legal business name Cornelius, Cristine L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 3rd, 2005
Last updated Jan 15th, 2008 - about 16 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 1710988464 NPPES
Wisconsin MEDICAID 32400900
Wisconsin Other P00366791
Wisconsin Other 0852480001
Wisconsin Other 528513
Wisconsin Other 528514

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