Provider Demographics
NPI:1497704258
Name:CORNETT, CHRIS A (MD)
Entity Type:Individual
Prefix:
First Name:CHRIS
Middle Name:A
Last Name:CORNETT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:CHRIS
Other - Middle Name:A
Other - Last Name:CORNETT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MD
Mailing Address - Street 1:UNIVERSITY OF NEBRASKA MEDICAL
Mailing Address - Street 2:981080 NEBRASKA MEDICAL CENTER
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68198-1080
Mailing Address - Country:US
Mailing Address - Phone:402-559-8000
Mailing Address - Fax:
Practice Address - Street 1:UNIVERSITY OF NEBRASKA MEDICAL
Practice Address - Street 2:981080 NEBRASKA MEDICAL CENTER
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68198-1080
Practice Address - Country:US
Practice Address - Phone:402-559-8000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-05-09
Last Update Date:2011-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE26078207XS0117X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207XS0117XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryOrthopaedic Surgery of the Spine