Cornell, Dewey G
Cornell, Dewey G is an individual health care provider with primary practice located at 417 Emmet Street, South , Charlottesville VA 22904-4270. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Cornell, Dewey G can be contacted via phone (434) 924-7034.Contact Information
Primary practice address
417 Emmet Street, South
Charlottesville VA 22904-4270
Phone: (434) 924-7034
Fax: (434) 924-4621
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 103TC0700X | 0810001404 | Virginia |
Profile Details
| NPI number | 1093713042 |
|---|---|
| LBN Legal business name | Cornell, Dewey G |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 13th, 2005 |
| Last updated | Aug 5th, 2014 - about 11 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 | 1093713042 | NPPES |
| Virginia | MEDICAID | 007706375 |
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