Lecornu, Andre M.

Lecornu, Andre M. is an individual health care provider with primary practice located at 2960 Tongass Ave Suite 403, Ketchikan AK 99901-5742. He recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as his primary health care specialty. Lecornu, Andre M. can be contacted via phone (907) 228-4902.

Contact Information

Primary practice address
2960 Tongass Ave Suite 403 Ketchikan AK 99901-5742
Fax: (907) 228-5256
Website:

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 9976 Alaska

Profile Details

NPI number 1447382809
LBN Legal business name Lecornu, Andre M.
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2007
Last updated Jul 8th, 2007 - about 17 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 1447382809 NPPES
Alaska Other 9976 LICENSED REGISTERED NURSE

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