Cornellier, Vincent
Cornellier, Vincent is an individual health care provider with primary practice located at 550 Munson Ave , Traverse City MI 49686-3580. He recently has only one registered license in Behavioral Health & Social Service Providers / Psychologist, which is considered as his primary health care specialty. Cornellier, Vincent can be contacted via phone (231) 935-8540.Contact Information
Primary practice address
550 Munson Ave
Traverse City MI 49686-3580
Phone: (231) 935-8540
Fax: (231) 935-8544
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Psychologist | 103T00000X | 6301002081 | Michigan |
Profile Details
| NPI number | 1881744670 |
|---|---|
| LBN Legal business name | Cornellier, Vincent |
| Credentials | PHD |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 12th, 2007 |
| Last updated | Jul 9th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1881744670 | NPPES |
| Michigan | Other | VC002081 | BLUE CROSS |
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