Cornelius, Tammy
Cornelius, Tammy is an individual health care provider with primary practice located at 1800 Al Highway 157 Suite 101, Cullman AL 35058-1271. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Primary Care, which is considered as her primary health care specialty. Cornelius, Tammy can be contacted via phone (256) 734-1012.Contact Information
Primary practice address
1800 Al Highway 157 Suite 101
Cullman AL 35058-1271
Phone: (256) 734-1012
Fax: (256) 739-3450
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Physician Assistants & Advanced Practice Nursing Providers / Primary Care | 363LP2300X | 1-066972 | Alabama |
Profile Details
NPI number | 1366765232 |
---|---|
LBN Legal business name | Cornelius, Tammy |
Credentials | CRNP |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Mar 8th, 2010 |
Last updated | Dec 9th, 2020 - about 4 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 | 1366765232 | NPPES |
Alabama | MEDICAID | 117960 | |
Alabama | Other | E869 |
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