Cornelius, Matthew C

Cornelius, Matthew C is an individual health care provider with primary practice located at 1300 N 12Th St Ste 320 , Phoenix AZ 85006-2848. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Cornelius, Matthew C can be contacted via phone (602) 521-3605.

Contact Information

Primary practice address
1300 N 12Th St Ste 320 Phoenix AZ 85006-2848
Fax: (602) 521-3601
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Psychiatry 2084P0800X 24409 Arizona

Profile Details

NPI number 1619946969
LBN Legal business name Cornelius, Matthew C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 17th, 2006
Last updated Apr 24th, 2017 - about 8 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 1619946969 NPPES
Arizona MEDICAID 480020

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