Coogan, Alice Clark

Coogan, Alice Clark is an individual health care provider with primary practice located at 3601 Tvc , Nashville TN 37232-0001. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology, Allopathic & Osteopathic Physicians / Anatomic Pathology. Allopathic & Osteopathic Physicians / Anatomic Pathology is her primary health care specialty. Coogan, Alice Clark can be contacted via phone (615) 322-3000.

Contact Information

Primary practice address
3601 Tvc Nashville TN 37232-0001
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Anatomic Pathology & Clinical Pathology 207ZP0102X MD0000028884 Tennessee
Allopathic & Osteopathic Physicians / Anatomic Pathology 207ZP0101X MD28884 Tennessee

Profile Details

NPI number 1396984852
LBN Legal business name Coogan, Alice Clark
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 6th, 2009
Last updated Mar 29th, 2022 - about 3 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 1396984852 NPPES
Tennessee MEDICAID 3808685

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