Stallworth, Cornelius

Stallworth, Cornelius is an individual health care provider with primary practice located at 1212 N California St , Stockton CA 95202-1552. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Case Manager/Care Coordinator, Other Service Providers / Community Health Worker. Other Service Providers / Community Health Worker is his primary health care specialty. Stallworth, Cornelius can be contacted via phone (209) 468-8686.

Contact Information

Primary practice address
1212 N California St Stockton CA 95202-1552
Phone: (209) 468-8686
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Other Service Providers / Community Health Worker 172V00000X

Profile Details

NPI number 1417123936
LBN Legal business name Stallworth, Cornelius
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date May 5th, 2008
Last updated Jan 11th, 2024 - about 10 months 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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