Cornelius, Wendy W.
Cornelius, Wendy W. is an individual health care provider with primary practice located at 2871 Acton Road Suite 100, Birmingham AL 35243-2560. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Surgical, which is considered as her primary health care specialty. Cornelius, Wendy W. can be contacted via phone (205) 939-0023.Contact Information
Primary practice address
2871 Acton Road Suite 100
Birmingham AL 35243-2560
Phone: (205) 939-0023
Fax: (205) 939-4180
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Physician Assistants & Advanced Practice Nursing Providers / Surgical | 363AS0400X | PA-325 | Alabama |
Profile Details
| NPI number | 1164479218 |
|---|---|
| LBN Legal business name | Cornelius, Wendy W. |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | May 27th, 2006 |
| Last updated | May 27th, 2011 - about 13 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 | 1164479218 | NPPES |
| Alabama | MEDICAID | 891004890 | |
| Alabama | Other | 051514938 | |
| Alabama | Other | 051512489 | |
| Alabama | MEDICAID | 009932896 | |
| Alabama | Other | 051514195 | |
| Alabama | MEDICAID | 009955735 |
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