Cobble, Anita Diane

Cobble, Anita Diane is an individual health care provider with primary practice located at 410 N State Of Franklin Rd Suite 130, Johnson City TN 37604-6971. She recently has only one registered license in Allopathic & Osteopathic Physicians / Surgery, which is considered as her primary health care specialty. Cobble, Anita Diane can be contacted via phone (423) 431-2477.

Contact Information

Primary practice address
410 N State Of Franklin Rd Suite 130 Johnson City TN 37604-6971
Phone: (423) 431-2477
Fax: (423) 431-2478
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X MD30278 Tennessee

Profile Details

NPI number 1225021454
LBN Legal business name Cobble, Anita Diane
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 23rd, 2005
Last updated Jan 30th, 2017 - about 7 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 1225021454 NPPES
Tennessee MEDICAID 6825938
Tennessee MEDICAID 1225021454
Tennessee MEDICAID 63032949
Tennessee MEDICAID 8906200

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