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Contact Information

BRIAN W CORNELL, DPM
55 MEMORIAL BOULEVARD
NEWPORT, RI02840-3679
 Phone: 401-846-2800
 Fax: 401-849-4899
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Podiatrist

213E00000X 48 Podiatry
Indicates primary specialty

NPI Profile & details for BRIAN W CORNELL · (Male)

NPI Number 1881773018
Status Active
Credentials DPM (Doctor of Podiatric Medicine)
Entity Individual
Enumeration date 11/06/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • RI License # DPM00195
  • RI Medicaid 9007121
  • RI Other 71215 BLUE CROSS BLUE SHIELD
  • RI Other 2700178 UNITED HEALTHCARE
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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