Cornelius, Penny S
Cornelius, Penny S is an individual health care provider with primary practice located at 2618 Forestville Dr , Green Bay WI 54304-1358. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as her primary health care specialty. Cornelius, Penny S can be contacted via phone (920) 496-1631.Contact Information
Primary practice address
2618 Forestville Dr
Green Bay WI 54304-1358
Phone: (920) 496-1631
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant | 363A00000X | 696-023 | Wisconsin |
Profile Details
| NPI number | 1184609331 |
|---|---|
| LBN Legal business name | Cornelius, Penny S |
| Credentials | Physician Assistant (PA) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 9th, 2005 |
| Last updated | Nov 11th, 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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