National Provider Identifier Database

CORNER HEALTH MEDICAL GROUP P A
Primary Care


Contact Information

CORNER HEALTH MEDICAL GROUP P A
2 N CENTRAL AVE
PHOENIX, AZ85004-2322
Phone: 602-123-4567
Fax:
Website:
Specialty Taxonomy Code
* Primary Care 261QP2300X
Home Health 251E00000X
Multi-Specialty 261QM1300X
Rural Health 261QR1300X
Skilled Nursing Facility 314000000X

* Indicates primary specialty

NPI Profile & details for CORNER HEALTH MEDICAL GROUP P A

NPI Number 1205689171
Legal business name
LBN
CORNER HEALTH MEDICAL GROUP P A
Authorized official LAVANYA SUNDER - (CEO)
Entity Organization
Organization subpart No
Enumeration date 04/09/2024
Last updated 10/08/2024 - More than a year ago
Sole proprietor1 Not specified
Identifiers n/a

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.

Reviews for CORNER HEALTH MEDICAL GROUP P A

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