Cornforth, Greg B

Cornforth, Greg B is an individual health care provider with primary practice located at 395 Highland Dr. , Lebanon VA 24266. He recently has 2 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist, Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports. Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist is his primary health care specialty. Cornforth, Greg B can be contacted via phone (276) 889-4090.

Contact Information

Primary practice address
395 Highland Dr. Lebanon VA 24266
Phone: (276) 889-4090
Fax: (276) 889-4026
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Physical Therapist 225100000X 2305005530 Virginia
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Sports 2251S0007X 2305005530 Virginia

Profile Details

NPI number 1275662140
LBN Legal business name Cornforth, Greg B
Credentials Physical Therapist (PT)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 5th, 2007
Last updated Jul 8th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1275662140 NPPES
Virginia MEDICAID 4979711

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