Cornish, Eboni Nicole

Cornish, Eboni Nicole is an sole proprietor health care provider with primary practice located at 1860 Town Center Drive 260, Reston VA 20190-1928. She recently has only one registered license in Hospitals / General Acute Care Hospital, which is considered as her primary health care specialty. Cornish, Eboni Nicole can be contacted via phone (703) 709-1119.

Contact Information

Primary practice address
1860 Town Center Drive 260 Reston VA 20190-1928
Phone: (703) 709-1119
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Hospitals / General Acute Care Hospital 282N00000X

Profile Details

NPI number 1891933131
LBN Legal business name Cornish, Eboni Nicole
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 24th, 2009
Last updated Sep 19th, 2013 - about 12 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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