Cornelius, Jeffrey S

Cornelius, Jeffrey S is an individual health care provider with primary practice located at 421 West College St Infants And Childrens Clinic Pc, Florence AL 35630. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Pediatrics, which is considered as his primary health care specialty. Cornelius, Jeffrey S can be contacted via phone (256) 764-9522.

Contact Information

Primary practice address
421 West College St Infants And Childrens Clinic Pc Florence AL 35630
Phone: (256) 764-9522
Fax: (256) 764-1139
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Pediatrics 363LP0200X 1078351 Alabama

Profile Details

NPI number 1366450389
LBN Legal business name Cornelius, Jeffrey S
Credentials CRNP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Jan 13th, 2011 - about 13 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 1366450389 NPPES
Alabama MEDICAID 891002770
Alabama Other 51093255

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