Cornwell, James T

Cornwell, James T is an individual health care provider with primary practice located at 900 I St , La Porte IN 46350-5533. He recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as his primary health care specialty. Cornwell, James T can be contacted via phone (219) 324-1700.

Contact Information

Primary practice address
900 I St La Porte IN 46350-5533
Phone: (219) 324-1700
Fax: (219) 324-1602
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 01056336A Indiana

Profile Details

NPI number 1659389658
LBN Legal business name Cornwell, James T
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 4th, 2006
Last updated Mar 31st, 2021 - 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 1659389658 NPPES
Indiana MEDICAID 200369250
Indiana Other P01683483
Indiana Other 000000869604

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