Kornder, Nicole
Kornder, Nicole is an individual health care provider with primary practice located at 3900 Stoneridge Ln Ste C , Dublin OH 43017-2289. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Sports Medicine is her primary health care specialty. Kornder, Nicole can be contacted via phone (614) 366-9324.Contact Information
Primary practice address
3900 Stoneridge Ln Ste C
Dublin OH 43017-2289
Phone: (614) 366-9324
Fax: (614) 366-9339
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Family Medicine | 207Q00000X | 35128436 | Ohio |
Allopathic & Osteopathic Physicians / Sports Medicine | 207QS0010X | 35128436 | Ohio |
Profile Details
NPI number | 1053756163 |
---|---|
LBN Legal business name | Kornder, Nicole |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 2nd, 2013 |
Last updated | Mar 25th, 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1053756163 | NPPES |
Ohio | MEDICAID | 0167961 |
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