Cornett, Jane Ellen

Cornett, Jane Ellen is an sole proprietor health care provider with primary practice located at 676 S Floyd St Ste 200 , Louisville KY 40202-1840. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine. Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine is her primary health care specialty. Cornett, Jane Ellen can be contacted via phone (502) 629-2806.

Contact Information

Primary practice address
676 S Floyd St Ste 200 Louisville KY 40202-1840
Fax: (502) 629-2809
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25867 Kentucky
Allopathic & Osteopathic Physicians / Hospice and Palliative Medicine 207RH0002X 25867 Kentucky

Profile Details

NPI number 1457450223
LBN Legal business name Cornett, Jane Ellen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 21st, 2006
Last updated Oct 13th, 2020 - about 4 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 1457450223 NPPES
Kentucky Other 000000625204 ANTHEM
Kentucky MEDICAID 64258676 ANTHEM

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