Caldwell, Thomas Conrad

Caldwell, Thomas Conrad is an sole proprietor health care provider with primary practice located at 2051 Hamill Rd Suite 201, Hixson TN 37343-4026. He recently has only one registered license in Allopathic & Osteopathic Physicians / Urology, which is considered as his primary health care specialty. Caldwell, Thomas Conrad can be contacted via phone (423) 877-2844.

Contact Information

Primary practice address
2051 Hamill Rd Suite 201 Hixson TN 37343-4026
Phone: (423) 877-2844
Fax: (423) 877-1959
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Urology 208800000X 017731 Tennessee

Profile Details

NPI number 1891879193
LBN Legal business name Caldwell, Thomas Conrad
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Oct 24th, 2006
Last updated May 27th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891879193 NPPES
Tennessee Other 3065950 BLUE CROSS PROVIDER ID
Tennessee Other 4034512 BLUE CROSS PROVIDER ID
Tennessee Other 4156364 BLUE CROSS PROVIDER ID
Tennessee Other 0000143907 BLUE CROSS PROVIDER ID
Tennessee MEDICAID 3028429 BLUE CROSS PROVIDER ID
Tennessee MEDICAID 3000262 BLUE CROSS PROVIDER ID

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