Cornell, Joline M.

Cornell, Joline M. is an individual health care provider with primary practice located at 2600 Greenbush Street , Lafayette IN 47904-2479. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered, which is considered as her primary health care specialty. Cornell, Joline M. can be contacted via phone (765) 448-8000.

Contact Information

Primary practice address
2600 Greenbush Street Lafayette IN 47904-2479
Phone: (765) 448-8000
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 03796-NA Ohio
Physician Assistants & Advanced Practice Nursing Providers / Nurse Anesthetist, Certified Registered 367500000X 28171228A Indiana

Profile Details

NPI number 1821060989
LBN Legal business name Cornell, Joline M.
Credentials Certified Registered Nurse Anesthetist (CRNA)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 3rd, 2006
Last updated Feb 8th, 2008 - about 16 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 1821060989 NPPES
Indiana Other 000000506889 ANTHEM PROVIDER NUMBER
Indiana Other 9334559 ANTHEM PROVIDER NUMBER

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