Cornell, Brian William

Cornell, Brian William is an individual health care provider with primary practice located at 55 Memorial Boulevard , Newport RI 02840-3679. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Cornell, Brian William can be contacted via phone (401) 846-2800.

Contact Information

Primary practice address
55 Memorial Boulevard Newport RI 02840-3679
Phone: (401) 846-2800
Fax: (401) 849-4899
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X DPM00195 Rhode Island

Profile Details

NPI number 1881773018
LBN Legal business name Cornell, Brian William
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 6th, 2006
Last updated Jul 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1881773018 NPPES
Rhode Island MEDICAID 9007121
Rhode Island Other 2700178
Rhode Island Other 71215

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