Cooze, Derek A

Cooze, Derek A is an individual health care provider with primary practice located at 420 W Morris Blvd Health Star Physicians Ste 400B, Morristown TN 37813. He recently has only one registered license in Allopathic & Osteopathic Physicians / Family Medicine, which is considered as his primary health care specialty. Cooze, Derek A can be contacted via phone (423) 586-2410.

Contact Information

Primary practice address
420 W Morris Blvd Health Star Physicians Ste 400B Morristown TN 37813
Phone: (423) 586-2410
Fax: (423) 581-9692
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MD17188 Tennessee

Profile Details

NPI number 1710937701
LBN Legal business name Cooze, Derek A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 11th, 2006
Last updated Jan 10th, 2022 - about 2 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 1710937701 NPPES
Tennessee MEDICAID 3020050

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