Individual
DR. JACOB ANDREW CORNETT
Active
Individual
DR. JACOB ANDREW CORNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
A74213
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A742130
BLUE SHIELD ID #
CA
05
—
00A742130
—
CA
01
—
00A742130385
CALOPTIMA ID #
CA
Enumeration date
07/24/2006
Last updated
10/22/2012
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