Cockrell, Gary William

Cockrell, Gary William is an sole proprietor health care provider with primary practice located at 785 Old Hickory Blvd Suite 101, Brentwood TN 37027-4512. He recently has 2 registered licenses in different health care specialties including Podiatric Medicine & Surgery Service Providers / Podiatrist, Podiatric Medicine & Surgery Service Providers / Foot Surgery. Podiatric Medicine & Surgery Service Providers / Foot Surgery is his primary health care specialty. Cockrell, Gary William can be contacted via phone (615) 370-8880.

Contact Information

Primary practice address
785 Old Hickory Blvd Suite 101 Brentwood TN 37027-4512
Phone: (615) 370-8880
Fax: (615) 370-9039
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X DPM0000000353 Tennessee
Podiatric Medicine & Surgery Service Providers / Foot Surgery 213ES0131X DPM0000000353 Tennessee

Profile Details

NPI number 1053452128
LBN Legal business name Cockrell, Gary William
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Feb 9th, 2007
Last updated Jun 4th, 2013 - about 11 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 1053452128 NPPES
Tennessee Other 621451791 FEDERAL EMPLOYER TAX ID #

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