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Physician Compare National (NPI:1376684860)

HEALTHCARE PROVIDER: JAMES JOSEPH CORNEILLER D.C.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information

NPI 1376684860
Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID 7810159175
Unique individual clinician ID assigned by PECOS
Professional Enrollment ID I20120502000375
Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name CORNEILLER
Individual professional last name
Provider First Name JAMES
Individual professional first name
Provider Middle Name J
Individual professional middle name
Provider Gender M
The provider's gender if the provider is a person.

Medical School Information

Medical School Name OTHER
Individual professional's medical school
Graduation Year 2001
Individual professional's medical school graduation year
Primary Specialty CHIROPRACTIC
Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information

Line 1 Street Address 2811 E HAMILTON AVE
Group Practice or individual's line 1 address
City EAU CLAIRE
Group Practice or individual's city
State WI
Group Practice or individual's state
Zip Code 547016863
Group Practice or individual's zip code (9 digits when available)
Phone Number 7158318535
Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information

Professional Accepts Medicare Assignment Y

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