Cornell, William

Cornell, William is an sole proprietor health care provider with primary practice located at 5585 Stanford St , Ventura CA 93003-4243. He recently has 4 registered licenses in different health care specialties including Other Service Providers / Contractor, Other Service Providers / Home Modifications, Suppliers / Durable Medical Equipment & Medical Supplies, Suppliers / Customized Equipment. Suppliers / Customized Equipment is his primary health care specialty. Cornell, William can be contacted via phone (805) 300-4803.

Contact Information

Primary practice address
5585 Stanford St Ventura CA 93003-4243
Phone: (805) 300-4803
Fax: (866) 910-5674
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Contractor 171W00000X 865640 California
Other Service Providers / Home Modifications 171WH0202X 865640 California
Suppliers / Durable Medical Equipment & Medical Supplies 332B00000X 865640 California
Suppliers / Customized Equipment 332BC3200X 865640 California

Profile Details

NPI number 1083037873
LBN Legal business name Cornell, William
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 29th, 2014
Last updated Jan 31st, 2014 - about 10 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 1083037873 NPPES
California Other 865640 CALIFORNIA STATE LICENSE BOARD

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