Individual provider · Type 1 NPI
William Cornell
Customized Equipment (DME) · Ventura, CA
NPI number
1083037873
Active
Practice location
5585 Stanford St
Ventura, CA 93003-4243
Fax (866) 910-5674
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Contractor | 171W00000X | 865640 (CA) |
| Home Modifications Contractor | 171WH0202X | 865640 (CA) |
| Durable Medical Equipment & Medical Supplies | 332B00000X | 865640 (CA) |
| Customized Equipment (DME) Primary | 332BC3200X | 865640 (CA) |
Customized Equipment (DME): Definition to come...
About NPI 1083037873
William Cornell's National Provider Identifier is 1083037873, issued on Jan 29, 2014. The primary taxonomy on file is Customized Equipment (DME) (332BC3200X), and the practice location is in Ventura, CA. The record was last updated on Jan 31, 2014.