Kornienko, Walter
Kornienko, Walter is an individual health care provider with primary practice located at 30 Lawrence Rd Ste 800 , Broomall PA 19008-3301. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Kornienko, Walter can be contacted via phone (610) 848-7000.Contact Information
Primary practice address
30 Lawrence Rd Ste 800
Broomall PA 19008-3301
Phone: (610) 848-7000
Fax: (610) 325-2016
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | MD038297E | Pennsylvania |
Profile Details
| NPI number | 1184697765 |
|---|---|
| LBN Legal business name | Kornienko, Walter |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 13th, 2006 |
| Last updated | Jul 13th, 2023 - about 2 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 | 1184697765 | NPPES |
| Pennsylvania | MEDICAID | 001101410 |
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