Cornelius, Richard

Cornelius, Richard is an sole proprietor health care provider with primary practice located at 658 E Brier Dr Ste 350 , San Bernardino CA 92408-2875. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Cornelius, Richard can be contacted via phone (800) 968-2636.

Contact Information

Primary practice address
658 E Brier Dr Ste 350 San Bernardino CA 92408-2875
Phone: (800) 968-2636
Fax: (909) 501-0832
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 13154 California

Profile Details

NPI number 1356494769
LBN Legal business name Cornelius, Richard
Credentials SUDCC II
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 19th, 2007
Last updated Jul 29th, 2022 - about 2 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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