Cockerham, William Todd

Cockerham, William Todd is an individual health care provider with primary practice located at 2108 E 3Rd St Suite 200, Chattanooga TN 37404-2600. He recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Surgery is his primary health care specialty. Cockerham, William Todd can be contacted via phone (423) 267-0466.

Contact Information

Primary practice address
2108 E 3Rd St Suite 200 Chattanooga TN 37404-2600
Phone: (423) 267-0466
Fax: (423) 493-2369
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X MD38542 Tennessee
Allopathic & Osteopathic Physicians / Surgery 208600000X MD38542 Tennessee

Profile Details

NPI number 1952395915
LBN Legal business name Cockerham, William Todd
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2005
Last updated Feb 11th, 2015 - 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952395915 NPPES
Other 4088363 BCBS OF TN
MEDICAID 672562420A BCBS OF TN
Other TN0183 BCBS OF TN
MEDICAID 009934518 BCBS OF TN
MEDICAID Q002579 BCBS OF TN
Other P00165478 BCBS OF TN

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