Kornilow, Jan Roman

Kornilow, Jan Roman is an individual health care provider with primary practice located at 2401 W University Ave , Muncie IN 47303-3428. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Kornilow, Jan Roman can be contacted via phone (260) 969-1950.

Contact Information

Primary practice address
2401 W University Ave Muncie IN 47303-3428
Phone: (260) 969-1950
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 01046719A Indiana

Profile Details

NPI number 1487653515
LBN Legal business name Kornilow, Jan Roman
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 20th, 2005
Last updated Feb 8th, 2021 - about 3 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 1487653515 NPPES
Indiana Other 000000658168 ANTHEM BC/BS
Indiana MEDICAID 200173100A ANTHEM BC/BS
Indiana Other P00742238 ANTHEM BC/BS
Indiana Other 000000626585 ANTHEM BC/BS
Indiana Other P00841049 ANTHEM BC/BS
Indiana Other 000000082488 ANTHEM BC/BS
Indiana Other P00730932 ANTHEM BC/BS

Popular Providers