Kornmehl, Carol L
Kornmehl, Carol L is an sole proprietor health care provider with primary practice located at 2090 Springdale Rd Ste B , Cherry Hill NJ 08003-2024. She recently has only one registered license in Allopathic & Osteopathic Physicians / Radiation Oncology, which is considered as her primary health care specialty. Kornmehl, Carol L can be contacted via phone (856) 751-9010.Contact Information
Primary practice address
2090 Springdale Rd Ste B
Cherry Hill NJ 08003-2024
Phone: (856) 751-9010
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 25MA05055500 | New Jersey |
Profile Details
| NPI number | 1164467924 |
|---|---|
| LBN Legal business name | Kornmehl, Carol L |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 17th, 2006 |
| Last updated | Jun 25th, 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1164467924 | NPPES |
| New Jersey | MEDICAID | 0239003 |
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