Harris, Cornetta
Harris, Cornetta is an individual health care provider with primary practice located at 201 Mechanic St , Lexington KY 40507-1004. She recently has only one registered license in Other Service Providers / Case Manager/Care Coordinator, which is considered as her primary health care specialty. Harris, Cornetta can be contacted via phone (859) 253-1686.Contact Information
Primary practice address
201 Mechanic St
Lexington KY 40507-1004
Phone: (859) 253-1686
Fax: (859) 254-2743
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Case Manager/Care Coordinator | 171M00000X |
Profile Details
| NPI number | 1417089145 |
|---|---|
| LBN Legal business name | Harris, Cornetta |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 9th, 2007 |
| Last updated | Jul 9th, 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 | 1417089145 | NPPES |
| Kentucky | MEDICAID | 30615058 |
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