Cornwell, John M
Cornwell, John M is an individual health care provider with primary practice located at 88 Washington St Attn Emergency Dept, Taunton MA 02780-2465. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Cornwell, John M can be contacted via phone (508) 828-7108.Contact Information
Primary practice address
88 Washington St Attn Emergency Dept
Taunton MA 02780-2465
Phone: (508) 828-7108
Fax: (508) 828-7158
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 70426 | Massachusetts |
Profile Details
| NPI number | 1023007259 |
|---|---|
| LBN Legal business name | Cornwell, John M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Feb 22nd, 2010 - about 14 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 | 1023007259 | NPPES |
| Massachusetts | Other | J10558 | BCBS |
| Massachusetts | Other | 410296 | BCBS |
| Massachusetts | Other | 437057 | BCBS |
| Massachusetts | MEDICAID | 0121657 | BCBS |
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