Cornish, Lea Ann
Cornish, Lea Ann is an sole proprietor health care provider with primary practice located at 1025 Ogden Ave , Lisle IL 60532-4388. She recently has only one registered license in Chiropractic Providers / Chiropractor, which is considered as her primary health care specialty. Cornish, Lea Ann can be contacted via phone (630) 963-1410.Contact Information
Primary practice address
1025 Ogden Ave
Lisle IL 60532-4388
Phone: (630) 963-1410
Fax: (630) 963-1456
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Chiropractic Providers / Chiropractor | 111N00000X | Illinois |
Profile Details
| NPI number | 1073680260 |
|---|---|
| LBN Legal business name | Cornish, Lea Ann |
| Credentials | Doctor of Chiropractic (DC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Nov 30th, 2006 |
| 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1073680260 | NPPES |
| Illinois | Other | 02206815 | BLUE CROSS BLUE SHEILD |
| Illinois | Other | 5162162 | BLUE CROSS BLUE SHEILD |
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