Cantrell, Carol R
Cantrell, Carol R is an sole proprietor health care provider with primary practice located at 2304 Memorial Blvd , Springfield TN 37172-3929. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Cantrell, Carol R can be contacted via phone (615) 384-8133.Contact Information
Primary practice address
2304 Memorial Blvd
Springfield TN 37172-3929
Phone: (615) 384-8133
Fax: (615) 384-8199
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Specialist | 174400000X | MD018063 | Tennessee |
Profile Details
| NPI number | 1417996117 |
|---|---|
| LBN Legal business name | Cantrell, Carol R |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jun 6th, 2006 |
| Last updated | Aug 8th, 2017 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1417996117 | NPPES |
| Tennessee | MEDICAID | 3037764 | |
| Tennessee | Other | 3136613 |
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