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Contact Information

JACK C CORNELL
1120 POLARIS PKWY STE 105A
COLUMBUS, OH43240-4042
 Phone: 614-505-0388
 Fax: 855-734-2645
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Magnetic Resonance Imaging (MRI)

261QM1200X
Indicates primary specialty

NPI Profile & details for JACK C CORNELL · (Male)

NPI # 1760298251
Status Active
Credentials
Entity Individual
Enumeration date 12/09/2024
Last updated 12/09/2024 - More than a year ago
Sole proprietor 1 Yes
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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