Kornack, Fulton Christopher

Kornack, Fulton Christopher is an individual health care provider with primary practice located at 1153 Centre St Suite 54, Jamaica Plain MA 02130-3446. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Kornack, Fulton Christopher can be contacted via phone (617) 522-1734.

Contact Information

Primary practice address
1153 Centre St Suite 54 Jamaica Plain MA 02130-3446
Phone: (617) 522-1734
Fax: (617) 522-8325
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Orthopaedic Surgery 207X00000X 49472 Massachusetts

Profile Details

NPI number 1407837651
LBN Legal business name Kornack, Fulton Christopher
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Nov 7th, 2005
Last updated Jun 27th, 2011 - about 13 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1407837651 NPPES
Massachusetts MEDICAID 3002918
Massachusetts Other 705751
Massachusetts Other E45018

Popular Providers