| Chris R. Cornelius Md, P.c. | |
|
19 Spellman Ter Rutland VT 05701-4123 | |
| (802) 775-1800 | |
| Not Available |
| Full Name | Chris R. Cornelius Md, P.c. |
|---|---|
| Speciality | Family Medicine |
| Location | 19 Spellman Ter, Rutland, Vermont |
| Authorized Official Name and Position | Chris Cornelius (OWNER) |
| Authorized Official Contact | 8027751800 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chris R. Cornelius Md, P.c. 19 Spellman Ter Rutland VT 05701-4123 Ph: () - | Chris R. Cornelius Md, P.c. 19 Spellman Ter Rutland VT 05701-4123 Ph: (802) 775-1800 |
| NPI Number | 1538378872 |
|---|---|
| Provider Enumeration Date | 05/22/2007 |
| Last Update Date | 03/16/2012 |
| Medicare PECOS PAC ID | 3072556521 |
|---|---|
| Medicare Enrollment ID | O20050606000576 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538378872 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Chris R Cornelius |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1790858637 PECOS PAC ID: 0345283891 Enrollment ID: I20080506000111 |
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