Cornwell, Edward Eugene
Cornwell, Edward Eugene is an individual health care provider with primary practice located at 2041 Georgia Ave Nw Ste 4000 , Washington DC 20060-0005. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Surgical Critical Care. Allopathic & Osteopathic Physicians / Surgical Critical Care is his primary health care specialty. Cornwell, Edward Eugene can be contacted via phone (202) 865-3785.Contact Information
Primary practice address
2041 Georgia Ave Nw Ste 4000
Washington DC 20060-0005
Phone: (202) 865-3785
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | D36081 | Maryland |
Allopathic & Osteopathic Physicians / Surgical Critical Care | 2086S0102X | MD17936 | District of Columbia |
Profile Details
NPI number | 1285673079 |
---|---|
LBN Legal business name | Cornwell, Edward Eugene |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 6th, 2006 |
Last updated | Aug 2nd, 2019 - about 6 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 | 1285673079 | NPPES |
Maryland | MEDICAID | 347821100 | |
Maryland | MEDICAID | 039793200 |
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