Cornelius, Peter L
Cornelius, Peter L is an individual health care provider with primary practice located at 1700 W Paradise Dr , West Bend WI 53095-9795. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cornelius, Peter L can be contacted via phone (262) 334-3451.Contact Information
Primary practice address
1700 W Paradise Dr
West Bend WI 53095-9795
Phone: (262) 334-3451
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 25227 | Wisconsin |
Profile Details
| NPI number | 1538249990 |
|---|---|
| LBN Legal business name | Cornelius, Peter L |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 17th, 2006 |
| Last updated | Jul 18th, 2012 - about 12 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1538249990 | NPPES |
| Other | 1004 | INTERNAL ID-MOTOR VEHICLE ID |
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