Kornick, Craig Allen

Kornick, Craig Allen is an individual health care provider with primary practice located at 7207 Golden Wings Road , Jacksonville FL 32244. He recently has only one registered license in Allopathic & Osteopathic Physicians / Interventional Pain Medicine, which is considered as his primary health care specialty. Kornick, Craig Allen can be contacted via phone (904) 389-1010.

Contact Information

Primary practice address
7207 Golden Wings Road Jacksonville FL 32244
Fax: (904) 389-1082
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Interventional Pain Medicine 208VP0014X ME82614 Florida

Profile Details

NPI number 1194722512
LBN Legal business name Kornick, Craig Allen
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 30th, 2005
Last updated Feb 24th, 2017 - about 7 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 1194722512 NPPES
Florida Other 5849952001 CIGNA
Florida Other 217227 CIGNA
Florida MEDICAID 26192880 CIGNA
Florida Other 3046289 CIGNA
Florida Other 01896 CIGNA

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